| Name: | Southern Family Markets LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 26 Apr 2005 (20 years ago) |
| Entity Number: | 000-608-352 |
| Register Number: | 000608352 |
| ZIP code: | 36104 |
| County: | Montgomery |
| Place of Formation: | Delaware |
| Principal Address: | 7 CORPORATE DRKEENE, NH 03431 |
| Registered Office Street Address: | 2 NORTH JACKSON ST., SUITE 605MONTGOMERY, AL 36104 |
Activities
ENGAGE IN RETAIL FOOD BUSINESS/ANY ACTIVITY LLC MAY BE FORMED
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841426913 | 2009-06-03 | 2009-10-30 | PO BOX 8500, LOCKBOX 8531, PHILADELPHIA, PA, 191788531, US | 2001 MCFARLAND BLVD E, TUSCALOOSA, AL, 354045801, US | |||||||||||||||||||||||
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| Phone | +1 205-345-5855 |
| Fax | 2053455857 |
Authorized person
| Name | MARK TOW |
| Role | DIRECTOR OF PHARMACY |
| Phone | 2059124934 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 110585 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 0135978 |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
