| Name: | PIKE DRUG COMPANY LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 31 Oct 2018 (6 years ago) (Companies founded in October 2018) |
| Entity Number: | 000-533-896 |
| Register Number: | 000533896 |
| ZIP code: | 35209 (Companies in Jefferson, 35209) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 100 OXMOOR ROAD SUITE 110BIRMINGHAM, AL 35209 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992276547 | 2018-12-07 | 2022-06-13 | 132 S MAIN ST STE 1, BRUNDIDGE, AL, 360101809, US | 132 S MAIN ST STE 1, BRUNDIDGE, AL, 360101809, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 334-536-0205 |
| Fax | 3345360206 |
Authorized person
| Name | KHADIJA F CALDWELL |
| Role | OWNER |
| Phone | 3345360205 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 227761 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| LEGALZOOM.COM INC | Organizer | 101 N BRAND BLVD 10TH FLOORGLENDALE, CA 91203 |
| Name | Role | Address |
|---|---|---|
| USCA INC | Agent | 101 N BRAND BLVD 11TH FLGLENDALE, CA 91203 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
