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Jackson Apothecary, LLC

Details

Name: Jackson Apothecary, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 13 Dec 2021 (3 years ago)
Entity Number: 000-956-817
Register Number: 000956817
County: Tallapoosa
Place of Formation: Alabama
Registered Office Street Address: 12755 HWY 22ENew Site, AL 36256
Registered Office Street Address ZIP Code: 36256

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1568064491 2020-11-16 2020-11-16 3633 ALTADENA DR, VESTAVIA, AL, 352432229, US 12755 HWY 22E, NEW SITE, AL, 362563625, US

Contacts

Phone +1 205-422-8114

Authorized person

Name BRAD JACKSON
Role MEMBER
Phone 2054228114

Taxonomy

Taxonomy Code 3336C0003X - Community/Retail Pharmacy
Is Primary Yes

Agent

Name Role
jackson, brad f JACKSON Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State