| Name: | J. Watkins Drugs LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 27 May 2021 (3 years ago) (Companies founded in May 2021) |
| Entity Number: | 000-864-492 |
| Register Number: | 000864492 |
| ZIP code: | 36509 (Companies in Mobile, 36509) |
| County: | Mobile |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 13286 N. Wintzell Ave.Bayou La Batre, AL 36509 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912972407 | 2006-02-20 | 2022-04-05 | 13286 N WINTZELL AVE, BAYOU LA BATRE, AL, 365092146, US | 13286 N WINTZELL AVE, BAYOU LA BATRE, AL, 365092146, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 251-824-7455 |
| Fax | 2518247450 |
Authorized person
| Name | HEATHER BASS |
| Role | PHARMACIST/OWNER |
| Phone | 2518247455 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 112745 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100003684 |
| State | AL |
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 0133532 |
| Name | Role |
|---|---|
| Bass, Nicholas W | Agent |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
