Name: | Burklow Development, Inc. |
Jurisdiction: | Alabama |
Legal type: | Foreign Corporation |
Status: | Exists |
Date of registration: | 13 Mar 2002 (23 years ago) (Companies founded in March 2002) |
Entity Number: | 000-939-402 |
Register Number: | 000939402 |
ZIP code: | 36695 (Companies in Mobile, 36695) |
County: | Mobile |
Place of Formation: | Florida |
Registered Office Street Address: | 1112 WAKEFIELD COURT SMOBILE, AL 36695 |
Principal Address: | 2950 GREYSTONE DRPACE, FL 32571 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1558517508 | 2008-08-11 | 2010-04-19 | 3207 INTERNATIONAL DR, STE F, MOBILE, AL, 366063020, US | 3207 INTERNATIONAL DR, STE F, MOBILE, AL, 366063020, US | |||||||||||||||||||||||||||||||
|
Phone | +1 251-478-0758 |
Fax | 8777291015 |
Authorized person
Name | WILLIAM CHANDLER |
Role | DIRECTOR OF OPERATIONS |
Phone | 2514780758 |
Taxonomy
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
License Number | 192883 |
State | AL |
Is Primary | Yes |
Taxonomy Code | 3336M0002X - Mail Order Pharmacy |
Is Primary | No |
Taxonomy Code | 3336S0011X - Specialty Pharmacy |
Is Primary | No |
Other Provider Identifiers
Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
Number | 0131350 |
Name | Role |
---|---|
CHANDLER, DARIAN | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State