Name: | Orange Beach Family Pharmacy, L.L.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Dissolved |
Date of registration: | 14 Aug 1996 (28 years ago) |
Date of dissolution: | 19 Aug 2008 |
Entity Number: | 000-654-490 |
Register Number: | 000654490 |
County: | Baldwin |
Place of Formation: | Baldwin County |
Principal Address: | 4223 ORANGE BEACH BLVDORANGE BEACH, AL 36561 |
Principal Address ZIP Code: | 36561 |
Activities
OPERATE A PHARMACY
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1205830999 | 2005-06-09 | 2008-01-04 | 25299 A CANAL ROAD #6, ORANGE BEACH, AL, 36561, US | 25299 A CANAL ROAD #6, ORANGE BEACH, AL, 36561, US | |||||||||||||||||||||||||||
|
Phone | +1 251-981-2255 |
Fax | 2519812282 |
Authorized person
Name | PATTISUE CARRANZA |
Role | PRESIDENT/OWNER |
Phone | 2519812255 |
Taxonomy
Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
License Number | 110764 |
State | AL |
Is Primary | No |
Taxonomy Code | 333600000X - Pharmacy |
License Number | 110764 |
State | AL |
Is Primary | Yes |
Name | Role |
---|---|
JUSTICE, W J | Agent |
Name | Role | Address |
---|---|---|
JUSTICE, W J | Member | No data |
COTTRELL, CHARLES D | Member | 810 EAST CRAIG STREETATMORE, AL 36502 |
PATRICK, FERREL | Member | No data |
CARRANZA, PATTISUE | Member | No data |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State