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Jackson Family Pharmacy, L.L.C.

Details

Name: Jackson Family Pharmacy, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 20 Nov 2001 (23 years ago)
Date of dissolution: 17 Jan 2008
Entity Number: 000-678-769
Register Number: 000678769
County: Escambia
Place of Formation: Escambia County
Principal Address: ATMORE, AL
Registered Office Street Address: 406 MEDICAL PARK DRATMORE, AL 36502
Registered Office Street Address ZIP Code: 36502

Activities PHARMACY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700952603 2006-11-24 2020-08-22 1201 COLLEGE AVE, JACKSON, AL, 365452406, US 1201 COLLEGE AVE, JACKSON, AL, 365452406, US

Contacts

Phone +1 251-246-1970

Authorized person

Name ANITA OVERTON
Role OWNER
Phone 2512461970

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

Agent

Name Role
JUSTICE, W J Agent

Member

Name Role Address
JUSTICE, W J Member No data
COTTRELL, CHARLES D Member 810 EAST CRAIG STREETATMORE, AL 36502
OVERTON, ANITA Member No data

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State