| Name: | Johnson Rx Properties, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 09 Aug 2007 (17 years ago) (Companies founded in August 2007) |
| Entity Number: | 000-498-431 |
| Register Number: | 000498431 |
| ZIP code: | 35959 (Companies in Cherokee, 35959) |
| County: | Cherokee |
| Place of Formation: | Cherokee County |
| Principal Address: | CEDAR BLUFF, AL |
| Registered Office Street Address: | 4055 ALABAMA HWY 9 STE FCEDAR BLUFF, AL 35959 |
Activities
REAL/PERSONAL PROPERTY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942482229 | 2007-11-29 | 2019-02-20 | 4055 AL HIGHWAY 9, STE F, CEDAR BLUFF, AL, 359595099, US | 4055 AL HIGHWAY 9, STE F, CEDAR BLUFF, AL, 359595099, US | |||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 256-779-3000 |
| Fax | 2567793002 |
Authorized person
| Name | COPELAND BLAKE JOHNSON |
| Role | OWNER/PHARMACIST |
| Phone | 2567793000 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 113032 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003182032A |
| State | GA |
| Issuer | PK |
| Number | 1996181 |
| Issuer | MEDICAID |
| Number | 100040202 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| JOHNSON, BLAKE | Agent | 165 CHAMBERS STLEESBURG, AL 35983 |
| Name | Role | Address |
|---|---|---|
| JOHNSON, BLAKE | Member | 165 CHAMBERS STLEESBURG, AL 35983 |
| JOHNSON, MARC | Member | 165 CHAMBERS STLEESBURG, AL 35983 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
