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BioPlus Specialty Infusion AL, LLC

Headquarter

Details

Name: BioPlus Specialty Infusion AL, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 02 Oct 2002 (22 years ago)
Entity Number: 000-685-146
Register Number: 000685146
Historical Names: Infusion Services, LLC
Kroger Specialty Infusion AL, LLC
ZIP code: 36104
County: Montgomery
Place of Formation: Houston County
Registered Office Street Address: 2 NORTH JACKSON STREET, SUITE 605MONTGOMERY, AL 36104

Activities HOME INFUSION SVC TO PROVIDE INTRAVENOUS MEDICATION/HOME HEALTH

Links between entities

Type Company Name Company Number State
Headquarter of BioPlus Specialty Infusion AL, LLC, FLORIDA M10000003216 FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346210549 2006-01-23 2020-05-08 2511 ROSS CLARK CIRCLE, DOTHAN, AL, 36301, US 2511 ROSS CLARK CIR, DOTHAN, AL, 363014912, US

Contacts

Phone +1 334-794-1126
Fax 3347930592

Authorized person

Name DEBRA J COLE
Role VICE PRESIDENT
Phone 8557333126

Taxonomy

Taxonomy Code 333600000X - Pharmacy
Is Primary No
Taxonomy Code 3336C0004X - Compounding Pharmacy
Is Primary No
Taxonomy Code 3336H0001X - Home Infusion Therapy Pharmacy
License Number 110739
State AL
Is Primary Yes
Taxonomy Code 3336S0011X - Specialty Pharmacy
Is Primary No

Other Provider Identifiers

Issuer MEDICAID
Number 009920285
State AL
Issuer MEDICAID
Number 031036100
State FL
Issuer MEDICAID
Number 003188543A
State GA
Issuer PK
Number 1993756
Issuer MEDICAID
Number 031036101
State FL
Issuer MEDICAID
Number 100003469
State AL
Issuer MEDICAID
Number 003159485B
State GA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INFUSION SERVICES, LLC 401(K) PLAN 2015 810575008 2016-05-25 INFUSION SERVICES, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 621610
Sponsor’s telephone number 3347941126
Plan sponsor’s address 2511 ROSS CLARK CIRCLE, DOTHAN, AL, 36301
INFUSION SERVICES, LLC 401(K) PLAN 2014 810575008 2016-03-23 INFUSION SERVICES, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 621610
Sponsor’s telephone number 3347941126
Plan sponsor’s address 2511 ROSS CLARK CIRCLE, DOTHAN, AL, 36301
INFUSION SERVICES, LLC 401(K) PLAN 2013 810575008 2015-05-21 INFUSION SERVICES, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 621610
Sponsor’s telephone number 3347941126
Plan sponsor’s address 2511 ROSS CLARK CIRCLE, DOTHAN, AL, 36301
INFUSION SERVICES, LLC 401(K) PLAN 2012 810575008 2014-05-20 INFUSION SERVICES, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 621610
Sponsor’s telephone number 3347941126
Plan sponsor’s address 2511 ROSS CLARK CIRCLE, DOTHAN, AL, 36301

Signature of

Role Plan administrator
Date 2014-05-15
Name of individual signing CHRIS WELSH
INFUSION SERVICES, LLC 401(K) PLAN 2011 810575008 2013-06-03 INFUSION SERVICES, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 621610
Sponsor’s telephone number 3347941126
Plan sponsor’s address 2511 ROSS CLARK CIRCLE, DOTHAN, AL, 36301

Plan administrator’s name and address

Administrator’s EIN 810575008
Plan administrator’s name INFUSION SERVICES, LLC
Plan administrator’s address 2511 ROSS CLARK CIRCLE, DOTHAN, AL, 36301
Administrator’s telephone number 3347941126

Signature of

Role Plan administrator
Date 2013-06-03
Name of individual signing CHRIS WELSH
INFUSION SERVICES, LLC 401(K) PLAN 2010 810575008 2012-06-27 INFUSION SERVICES, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 621610
Sponsor’s telephone number 3347941126
Plan sponsor’s address 2511 ROSS CLARK CIRCLE, DOTHAN, AL, 36301

Plan administrator’s name and address

Administrator’s EIN 810575008
Plan administrator’s name INFUSION SERVICES, LLC
Plan administrator’s address 2511 ROSS CLARK CIRCLE, DOTHAN, AL, 36301
Administrator’s telephone number 3347941126

Signature of

Role Plan administrator
Date 2012-06-27
Name of individual signing CHRIS WELSH
INFUSION SERVICES, LLC 401(K) PLAN 2009 810575008 2011-05-06 INFUSION SERVICES, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 621610
Sponsor’s telephone number 3347941126
Plan sponsor’s address 2511 ROSS CLARK CIRCLE, DOTHAN, AL, 36301

Plan administrator’s name and address

Administrator’s EIN 810575008
Plan administrator’s name INFUSION SERVICES, LLC
Plan administrator’s address 2511 ROSS CLARK CIRCLE, DOTHAN, AL, 36301
Administrator’s telephone number 3347941126

Signature of

Role Plan administrator
Date 2011-05-06
Name of individual signing CHRIS WELSH

Agent

Name Role Address
CT CORPORATION SYSTEM Agent 6190 POWERS FERRY RD STE 600ATLANTA, GA 30339

Member

Name Role Address
BIOPLUS SPECIALTY INFUSION HOLDINGS, INC. Member 220 VIRGINIA AVEINDIANAPOLIS, IN 46204

Events

Event Date Event Type Old Value New Value
2024-10-04 Name Change Kroger Specialty Infusion AL, LLC BioPlus Specialty Infusion AL, LLC
2016-10-11 Name Change Infusion Services, LLC Kroger Specialty Infusion AL, LLC

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State