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PHARMACY CENTER SOUTH, LLC

Details

Name: PHARMACY CENTER SOUTH, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 26 Jun 2019 (5 years ago)
Date of dissolution: 30 Mar 2020
Entity Number: 000-579-787
Register Number: 000579787
County: Houston
Place of Formation: Houston County
Registered Office Street Address: 1971 S BRANNON STAND RD SUITE 1DOTHAN, AL 36305
Registered Office Street Address ZIP Code: 36305

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043862931 2019-07-11 2019-07-11 1971 S BRANNON STAND RD STE 1, DOTHAN, AL, 363056985, US 2826 ROSS CLARK CIRCLE, SUITE 103, DOTHAN, AL, 36301, US

Contacts

Phone +1 334-446-5300
Fax 3344463122

Authorized person

Name KEVIN TAYLOR
Role OWNER
Phone 3344465300

Taxonomy

Taxonomy Code 3336C0003X - Community/Retail Pharmacy
Is Primary Yes
Taxonomy Code 3336C0004X - Compounding Pharmacy
Is Primary No
Taxonomy Code 3336L0003X - Long Term Care Pharmacy
Is Primary No
Taxonomy Code 3336S0011X - Specialty Pharmacy
Is Primary No

Agent

Name Role Address
TAYLOR, KEVIN Agent 160 SOUTHERN TRAILJACKSON, AL 36540

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State