Search icon

Rogersville Pharmacy LLC

Details

Name: Rogersville Pharmacy LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 18 Jun 2019 (5 years ago) (Companies founded in June 2019)
Entity Number: 000-578-996
Register Number: 000578996
ZIP code: 35209 (Companies in Jefferson, 35209)
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 100 OXMOOR ROAD STE 110BIRMINGHAM, AL 35209

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467093211 2019-10-03 2019-10-26 16135 HIGHWAY 72, ROGERSVILLE, AL, 356528118, US 16135 HIGHWAY 72, ROGERSVILLE, AL, 356528118, US

Contacts

Phone +1 256-444-7777
Fax 2566077112

Authorized person

Name JASON SCOTT HUMPHREYS
Role OWNER/MANAGER/MEMBER
Phone 2563352310

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary No
Taxonomy Code 333600000X - Pharmacy
Is Primary Yes
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
Is Primary No

Agent

Name Role Address
USCA INC Agent 101 N BRAND BLVD 11TH FLGLENDALE, CA 91203

Organizer

Name Role Address
LEGALZOOM.COM INC Organizer 101 N BRAND BLVD 10TH FLOORGLENDALE, CA 91203

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State