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Avita Drugs Alabama, LLC

Details

Name: Avita Drugs Alabama, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 15 Aug 2019 (5 years ago)
Entity Number: 000-585-331
Register Number: 000585331
ZIP code: 36104
County: Montgomery
Place of Formation: Delaware
Principal Address: 111 Executive Center Dr, Suite 228Columbia, SC 29210
Registered Office Street Address: 641 South Lawrence StreetMontgomery, AL 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124854674 2024-09-11 2024-09-11 5700 GRANITE PKWY STE 425, PLANO, TX, 750246648, US 1891 HONEYSUCKLE RD STE 3, DOTHAN, AL, 363054291, US

Contacts

Phone +1 334-679-7940

Authorized person

Name CARL CODY COLQUITT
Role CHIEF FINANCIAL OFFICER
Phone 4698506930

Taxonomy

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

Agent

Name Role
Corporation Service Company Inc. Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State