| Name: | Pratts Station, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 17 Feb 1999 (26 years ago) (Companies founded in February 1999) |
| Entity Number: | 000-663-201 |
| Register Number: | 000663201 |
| ZIP code: | 36016 (Companies in Barbour, 36016) |
| County: | Barbour |
| Place of Formation: | Barbour County |
| Principal Address: | CLAYTON, AL |
| Registered Office Street Address: | P O BOX 220CLAYTON, AL 36016 |
Activities
RETAIL DRUG BUSINESS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467518498 | 2006-12-27 | 2008-06-20 | PO BOX 460, CLIO, AL, 360170460, US | 1199 BLUE SPRINGS ST, CLIO, AL, 360170460, US | |||||||||||||||||||||||||
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| Phone | +1 334-397-2023 |
| Fax | 3343972029 |
Authorized person
| Name | MR. GERALD LAMAR JOWERS |
| Role | OWNER PHARMACIST |
| Phone | 3343972023 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 111145 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100002949 |
| State | AL |
| Name | Role |
|---|---|
| JOWERS, GERALD L | Agent |
| Name | Role |
|---|---|
| BEASLEY, WILLIAM M | Member |
| JOWERS, GERALD L | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
