| Name: | Three Oaks Pharmacy, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 20 Aug 2015 (9 years ago) |
| Entity Number: | 000-342-912 |
| Register Number: | 000342912 |
| Historical Names: |
Shoals Apothecary, LLC
|
| ZIP code: | 35630 |
| County: | Lauderdale |
| Place of Formation: | Lauderdale County |
| Registered Office Street Address: | 129 CREEKSIDE DRIVEFLORENCE, AL 35630 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396118261 | 2015-11-02 | 2017-03-24 | 861 COX CREEK PARKWAY, FLORENCE, AL, 35630, US | 861 COX CREEK PARKWAY, FLORENCE, AL, 35630, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 256-764-4675 |
| Fax | 2567643675 |
Authorized person
| Name | VALERIE OAKLEY |
| Role | OWNER/PHARMACIST |
| Phone | 2567644675 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| License Number | 114534 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2168262 |
| Name | Role |
|---|---|
| OAKLEY, VALERIE | Agent |
| Name | Role |
|---|---|
| OAKLEY, VALERIE | Member |
| Name | Role | Address |
|---|---|---|
| WINBORN, RANDY | Organizer | 4050 HELTON DR, STE 212FLORENCE, AL 35630 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2015-09-17 | Name Change | Shoals Apothecary, LLC | Three Oaks Pharmacy, LLC |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
