| Name: | Ploppert Family, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 30 Jan 1996 (29 years ago) |
| Entity Number: | 000-653-237 |
| Register Number: | 000653237 |
| County: | Cullman |
| Place of Formation: | Cullman County |
| Principal Address: | 129 CO RD 1329VINEMONT, AL 35179 |
| Principal Address ZIP Code: | 35179 |
| Registered Office Street Address: | 129 COUNTY ROAD 1329VINEMONT, AL 35179 |
| Registered Office Street Address ZIP Code: | 35179 |
Activities
OWNNG/OPERATING/MANAGING A PHARMACY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447323738 | 2006-11-16 | 2009-02-27 | 1407 2ND AVE SW, CULLMAN, AL, 350555310, US | 1407 2ND AVE SW, CULLMAN, AL, 350555310, US | |||||||||||||||||||
|
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| Phone | +1 256-734-4251 |
Authorized person
| Name | MR. CHARLES THOMAS PLOPPERT III |
| Role | OWNER |
| Phone | 2567344251 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100002690 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| PLOPPERT, CHARLES T III | Agent | 1407 2ND AVENUE SWCULLMAN, AL 35055 |
| Name | Role | Address |
|---|---|---|
| PLOPPERT, CHARLES T III | Member | 1407 2ND AVENUE SWCULLMAN, AL 35055 |
| PLOPPERT, MARYANN | Member | No data |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
