| Name: | Guardian Pharmacy of Birmingham, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 24 Feb 2005 (20 years ago) (Companies founded in February 2005) |
| Entity Number: | 000-607-993 |
| Register Number: | 000607993 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Georgia |
| Principal Address: | 1776 PEACHTREE RD NW STE 310ATLANTA, GA 30309 |
| Registered Office Street Address: | 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
Activities
PHARMACY & HEALTHCARE RELATED SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184013799 | 2015-01-20 | 2017-12-14 | PO BOX 11407, DEPT #2397, BIRMINGHAM, AL, 352462397, US | 1100 7TH AVE, JASPER, AL, 355014377, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 404-554-1647 |
| Fax | 4045541648 |
| Phone | +1 205-397-4660 |
| Fax | 2053974661 |
Authorized person
| Name | PHILIP BOYD |
| Role | PRESIDENT |
| Phone | 2058795300 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | 114449 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2149782 |
| Issuer | MEDICAID |
| Number | 168682 |
| State | AL |
| Name | Role |
|---|---|
| REGISTERED AGENT SOLUTIONS INC | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
