| Name: | Rainsville Compounding Pharmacy, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 20 Feb 2002 (23 years ago) |
| Date of dissolution: | 19 Nov 2015 |
| Entity Number: | 000-680-499 |
| Register Number: | 000680499 |
| County: | De Kalb |
| Place of Formation: | DeKalb County |
| Principal Address: | FYFFE, AL |
| Registered Office Street Address: | 2525 CO RD 56FYFFE, AL 35971 |
| Registered Office Street Address ZIP Code: | 35971 |
Activities
PHARMACEUTICAL PRODUCTS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922116193 | 2006-08-28 | 2020-08-22 | PO BOX 1370, 515 MAIN STREET, RAINSVILLE, AL, 359861370, US | 515 MAIN STREET, RAINSVILLE, AL, 35986, US | |||||||||||||||||||
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| Phone | +1 256-638-2255 |
| Fax | 2566382257 |
Authorized person
| Name | WADE PHILLIPS |
| Role | SUPERVISING PHARMACIST |
| Phone | 2566382255 |
Taxonomy
| Taxonomy Code | 183500000X - Pharmacist |
| License Number | 0131526 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| GILES, STACY SHARP | Member |
| Name | Role |
|---|---|
| GILES, STACY SHARP | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
