| Name: | OPP PHARMACY LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 23 Jul 2020 (5 years ago) |
| Entity Number: | 000-640-415 |
| Register Number: | 000640415 |
| ZIP code: | 36375 |
| County: | Geneva |
| Place of Formation: | Geneva County |
| Registered Office Street Address: | 141 SOUTH DALTON STREETSLOCOMB, AL 36375 |
| Registered Office Mailing Address: | POST OFFICE BOX 279SLOCOMB, AL 36375 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730656646 | 2018-10-29 | 2022-02-22 | PO BOX 279, SLOCOMB, AL, 363750279, US | 405 N MAIN ST, OPP, AL, 364671606, US | |||||||||||||||||||||
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| Phone | +1 334-493-1110 |
| Fax | 3344931095 |
Authorized person
| Name | JOE A DALTON |
| Role | OWNER |
| Phone | 3348862442 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 225766 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| DALTON, JOE A | Agent | 141 SIYTG DAKTIB STREETSLOCOMB, AL 36375 |
| Name | Role | Address |
|---|---|---|
| DALTON, JOE A. | Organizer | 141 SOUTH DALTON STREETSLOCOMB, AL 36375 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
