| Name: | USA Health Providence Retail Pharmacy, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 01 Aug 2023 (a year ago) (Companies founded in August 2023) |
| Entity Number: | 001-092-061 |
| Register Number: | 001092061 |
| ZIP code: | 36688 (Companies in Mobile, 36688) |
| County: | Mobile |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 307 University Blvd., North, AD 140MOBILE, AL 36688 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245913144 | 2023-08-08 | 2023-08-09 | 307 N UNIVERSITY BLVD # AD300, MOBILE, AL, 366883053, US | 6701 AIRPORT BLVD STE B 124, MOBILE, AL, 366883053, US | |||||||||||||||||
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| Phone | +1 251-461-1475 |
| Phone | +1 251-266-2860 |
| Fax | 2516313166 |
Authorized person
| Name | BENNY J STOVER |
| Role | CHIEF FINANCIAL OFFICER |
| Phone | 6158506120 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Name | Role |
|---|---|
| DUKES, KRISTIN D | Agent |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
