Name: | Valley Pharmacy, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 19 May 2021 (3 years ago) |
Entity Number: | 000-860-425 |
Register Number: | 000860425 |
County: | Morgan |
Place of Formation: | Alabama |
Registered Office Street Address: | 508 Cain RdSomerville, AL 35670 |
Registered Office Street Address ZIP Code: | 35670 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1982377362 | 2021-07-30 | 2021-08-20 | 1201 8TH ST SE, DECATUR, AL, 356013356, US | 1201 8TH ST SE, DECATUR, AL, 356013356, US | |||||||||||||||||||||||||
|
Phone | +1 256-686-3261 |
Fax | 2566863406 |
Authorized person
Name | LEILA ELAYAN SPEEGLE |
Role | OWNER |
Phone | 2563558015 |
Taxonomy
Taxonomy Code | 163W00000X - Registered Nurse |
Is Primary | No |
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
Is Primary | Yes |
Other Provider Identifiers
Issuer | NPI |
Number | 1982377362 |
State | AL |
Name | Role |
---|---|
Speegle, Leila E | Agent |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State