| Name: | Russell Pharmacy LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 25 Jul 2011 (14 years ago) |
| Date of dissolution: | 13 Jul 2020 |
| Entity Number: | 000-020-543 |
| Register Number: | 000020543 |
| ZIP code: | 36104 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 11 DEXTER AVENUEMONTGOMERY, AL 36104 |
Activities
OWN/OPERATE/MANAGE PHARMACY AND RETAIL STORE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699053686 | 2011-07-26 | 2014-08-20 | 11 DEXTER AVE, MONTGOMERY, AL, 361043514, US | 11 DEXTER AVE, MONTGOMERY, AL, 361043514, US | |||||||||||||||||||||||
|
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| Phone | +1 334-263-6144 |
| Fax | 3342639897 |
Authorized person
| Name | HAMP RUSSELL |
| Role | PHARMACIST OWNER |
| Phone | 3342636144 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 102415 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2131008 |
| Name | Role |
|---|---|
| RUSSELL, R H | Agent |
| Name | Role | Address |
|---|---|---|
| RUSSELL, R HAMPTON | Organizer | 562 WEST RIDGELAND FARMSMONTGOMERY, AL 36105 |
| ROBY, RILEY W | Organizer | 105 TALLAPOOSA STREET, SUITE 200MONTGOMERY, AL 36104-7821 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
