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Medicus Specialty Pharmacy, LLC

Details

Name: Medicus Specialty Pharmacy, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 03 Aug 2022 (2 years ago) (Companies founded in August 2022)
Entity Number: 001-033-013
Register Number: 001033013
ZIP code: 36830 (Companies in Lee, 36830)
County: Lee
Place of Formation: Alabama
Registered Office Street Address: 1925 E Glenn Ave, Suite 203Auburn, AL 36830

National Provider Identifier

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

Contacts

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

Agent

Name Role
Tole, John W Tole Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State