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Alchemy Pharmacy Fairfield, LLC

Details

Name: Alchemy Pharmacy Fairfield, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 10 Mar 2024 (8 months ago) (Companies founded in March 2024)
Entity Number: 001-125-490
Register Number: 001125490
ZIP code: 35007 (Companies in Shelby, 35007)
County: Shelby
Place of Formation: Alabama
Registered Office Street Address: 81 Weatherly Club Drive Suite AAlabaster, AL 35007

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578306049 2024-06-13 2024-06-13 81 WEATHERLY CLUB DR STE A, ALABASTER, AL, 350073175, US 4800 GARY AVE, FAIRFIELD, AL, 350641369, US

Contacts

Phone +1 205-358-3470

Authorized person

Name DR. DANIEL BLAIR
Role OWNER
Phone 2053583470

Taxonomy

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

Other Provider Identifiers

Issuer ALABAMA PHARMACY LICENSE
Number 115292
State AL

Agent

Name Role
Blair, Kimberly B Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State