| Name: | Moultrie Pharmacy at Caddo LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 12 Jul 2021 (3 years ago) (Companies founded in July 2021) |
| Entity Number: | 000-872-472 |
| Register Number: | 000872472 |
| ZIP code: | 35650 (Companies in Lawrence, 35650) |
| County: | Lawrence |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 498 County Road 307Moulton, AL 35650 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841941093 | 2022-01-10 | 2022-01-10 | 22747 AL HIGHWAY 24 STE D, MOULTON, AL, 356508102, US | 22747 AL HIGHWAY 24 STE D, MOULTON, AL, 356508102, US | |||||||||||||||||||
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| Phone | +1 256-905-0030 |
| Fax | 2569050049 |
Authorized person
| Name | DR. BENJAMIN DAVID MOULTRIE |
| Role | OWNER |
| Phone | 2565663174 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Moultrie, Benjamin D | Agent | 498 County Road 307Moulton, AL 35650 |
| Name | Role | Address |
|---|---|---|
| Moultrie, Benjamin D | Organizer | 498 County Road 307Moulton, AL 35650 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
