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RegenCell of East Alabama, LLC

Details

Name: RegenCell of East Alabama, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 27 Dec 2017 (7 years ago)
Entity Number: 000-505-287
Register Number: 000505287
Historical Names: YELLOW HAMMER PHARMACY, LLC
County: Lee
Place of Formation: Lee County
Registered Office Street Address: 495 LEE ROAD 14AUBURN, AL 36830
Registered Office Street Address ZIP Code: 36830

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538945910 2023-09-01 2024-05-09 1365 GATEWOOD DR, AUBURN, AL, 368302834, US 1365 GATEWOOD DR, AUBURN, AL, 368302834, US

Contacts

Phone +1 334-646-1418
Fax 3345217117

Authorized person

Name MARIA TUCKER
Role DIRECTOR OF CLINICAL OPERATIONS
Phone 3346461418

Taxonomy

Taxonomy Code 163WI0500X - Infusion Therapy Registered Nurse
Is Primary No
Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

Agent

Name Role
OB MANAGEMENT INC. Agent

Events

Event Date Event Type Old Value New Value
2023-11-28 Name Change YELLOW HAMMER PHARMACY, LLC RegenCell of East Alabama, LLC

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State