| Name: | Nushop, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 15 Sep 1999 (25 years ago) |
| Entity Number: | 000-666-209 |
| Register Number: | 000666209 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | HARVEST, AL |
| Registered Office Street Address: | 4 WILLIAM WAY PLACEGURLEY, AL 35748 |
| Registered Office Street Address ZIP Code: | 35748 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205833456 | 2005-07-01 | 2013-11-15 | 6046 HIGHWAY 53, HARVEST, AL, 357499538, US | 6046 HIGHWAY 53, HARVEST, AL, 357499538, US | |||||||||||||||||||||||||
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| Phone | +1 256-858-2288 |
| Fax | 2568582149 |
| Phone | +1 256-858-9677 |
Authorized person
| Name | MR. MAZEN R NUWAYHID |
| Role | PHARMACIST-OWNER |
| Phone | 2568582288 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100003084 |
| State | AL |
| Name | Role |
|---|---|
| MAZEN R. NUWAYHID | Agent |
| Name | Role |
|---|---|
| SHANNARAH, JOSEPH | Member |
| AMIRAS INC | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
