| Name: | M&C SERVICES, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 01 Jul 2019 (5 years ago) (Companies founded in July 2019) |
| Entity Number: | 000-580-052 |
| Register Number: | 000580052 |
| ZIP code: | 36303 (Companies in Houston, 36303) |
| County: | Houston |
| Place of Formation: | Houston County |
| Registered Office Street Address: | 212 W. TROY ST. SUITE BDOTHAN, AL 36303 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063594844 | 2006-10-20 | 2011-12-07 | PO BOX 311688, ENTERPRISE, AL, 363311688, US | 100 PROFESSIONAL LN, ENTERPRISE, AL, 363302393, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 334-348-9200 |
| Fax | 3343489003 |
Authorized person
| Name | PAUL RUSSELL |
| Role | OWNER |
| Phone | 3343489200 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 111903 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100002951 |
| State | AL |
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 0130702 |
| Name | Role | Address |
|---|---|---|
| REGISTERED AGENTS INC | Agent | 212 W. TROY ST. STE BDOTHAN, AL 36303 |
| Name | Role | Address |
|---|---|---|
| CIMADON, CHRISTINE | Organizer | 5605 RIGGINS COURT STE 200RENO, NV 89502 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
