| Name: | Medicus Specialty Pharmacy, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 03 Aug 2022 (2 years ago) |
| Entity Number: | 001-033-013 |
| Register Number: | 001033013 |
| County: | Lee |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 1925 E Glenn Ave, Suite 203Auburn, AL 36830 |
| Registered Office Street Address ZIP Code: | 36830 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194452656 | 2022-08-04 | 2022-08-04 | 1925 E GLENN AVE STE 204, AUBURN, AL, 368305729, US | 1925 E GLENN AVE STE 204, AUBURN, AL, 368305729, US | |||||||||||||||||||||||
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| Phone | +1 334-521-7408 |
| Fax | 3345210394 |
Authorized person
| Name | DR. JOHN W TOLE |
| Role | OWNER / PHYSICIAN |
| Phone | 3345217408 |
Taxonomy
| Taxonomy Code | 3336C0002X - Clinic Pharmacy |
| Is Primary | Yes |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| Is Primary | No |
| Name | Role |
|---|---|
| Tole, John W Tole | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
