| Name: | Hurtsboro Drugs, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 24 Mar 2022 (3 years ago) (Companies founded in March 2022) |
| Entity Number: | 001-010-750 |
| Register Number: | 001010750 |
| ZIP code: | 36860 (Companies in Russell, 36860) |
| County: | Russell |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 510 Main StreetHurtsboro, AL 36860 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396410551 | 2021-08-10 | 2022-09-07 | PO BOX 327, HURTSBORO, AL, 368600327, US | 510 MAIN ST, HURTSBORO, AL, 36860, US | |||||||||||||||||||||
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| Phone | +1 334-560-1329 |
| Fax | 3345601392 |
Authorized person
| Name | RYLEN CREWS |
| Role | OWNER |
| Phone | 3345601329 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 276610 |
| State | AL |
| Name | Role |
|---|---|
| Crews, Rylen O | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
