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Alabama LTC Pharmacy, LLC

Details

Name: Alabama LTC Pharmacy, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 01 Nov 2019 (5 years ago) (Companies founded in November 2019)
Entity Number: 000-591-752
Register Number: 000591752
ZIP code: 35476 (Companies in Tuscaloosa, 35476)
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Registered Office Street Address: 611 McFarland Blvd. Ste CNorthport, AL 35476

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750914545 2020-02-19 2020-02-19 611 MCFARLAND BLVD STE D, NORTHPORT, AL, 354763333, US 611 MCFARLAND BLVD STE D, NORTHPORT, AL, 354763333, US

Contacts

Phone +1 205-632-5455
Fax 2053336201

Authorized person

Name LOGAN DAVIS
Role PRESIDENT
Phone 2056325455

Taxonomy

Taxonomy Code 333600000X - Pharmacy
Is Primary No
Taxonomy Code 3336L0003X - Long Term Care Pharmacy
Is Primary Yes

Agent

Name Role
Newell, Herbert M III Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State