| 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) (Companies founded in August 1996) |
| Date of dissolution: | 19 Aug 2008 |
| Entity Number: | 000-654-490 |
| Register Number: | 000654490 |
| ZIP code: | 36561 (Companies in Baldwin, 36561) |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Principal Address: | 4223 ORANGE BEACH BLVDORANGE BEACH, AL 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 | |||||||||||||||||||||||||||
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| 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
