| Name: | Village Drug Co., LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 25 Feb 2019 (6 years ago) |
| Entity Number: | 000-544-494 |
| Register Number: | 000544494 |
| ZIP code: | 35219 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 2320 LAUREN LNBIRMINGHAM, AL 35219 |
| Registered Office Mailing Address: | 2320 LAUREL LNBIRMINGHAM, AL 35216 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073170775 | 2019-05-29 | 2024-10-15 | 300 CARLOW LN, STE 116, BIRMINGHAM, AL, 35217, US | 300 CARLOW LN, STE 116, BIRMINGHAM, AL, 35217, US | |||||||||||||||||||||||||||||
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| Phone | +1 205-713-8393 |
| Fax | 2058756032 |
| Phone | +1 205-410-5528 |
Authorized person
| Name | DR. MATTHEW ZAUCHIN |
| Role | OWNER/PIC |
| Phone | 2057138393 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 235537 |
| State | AL |
| Issuer | MEDICAID |
| Number | 1073170775 |
| State | AL |
| Name | Role |
|---|---|
| ZAUCHIN, MATTHEW D | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
