| Name: | SHIFTRX UAB MW, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 20 Aug 2019 (5 years ago) |
| Entity Number: | 000-584-635 |
| Register Number: | 000584635 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 2 North Jackson Street, Suite 605Montgomery, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982235230 | 2020-01-27 | 2024-01-23 | 985 9TH AVE SW STE 100, BESSEMER, AL, 350227810, US | 985 9TH AVE SW STE 100, BESSEMER, AL, 350227810, US | |||||||||||||||||||||||||
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| Phone | +1 205-426-3784 |
| Fax | 2054263763 |
Authorized person
| Name | JEROMIE RAY LOVINGOOD |
| Role | DIRECTOR |
| Phone | 2054263784 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 144259 |
| State | AL |
| Name | Role |
|---|---|
| C T Corporation System | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
