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Azalea Pharmacy LLC

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Company Details

Name: Azalea Pharmacy LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 23 Sep 2013 (12 years ago)
Business ID: 1028452
State of Incorporation: MISSISSIPPI

Member

Name Role Address
Jeffrey W Rollins Member 1019 Government Street Ste F, Ocean Springs, MS 39564
Dempsey Bryan Levi Member 1019 Government Street Ste F, Ocean Springs, MS 39564

Agent

Name Role Address
Rollins, Jeffrey W Agent 1019 Government Street Ste F, Ocean Springs, MS 39564

National Provider Identifier

NPI Number:
1407283989

Authorized Person:

Name:
MR. JEFFREY WAYNE ROLLINS
Role:
CFO
Phone:

Taxonomy:

Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Fax:
2288185113

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2014-12-20 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2014-10-13 Notice to Dissolve/Revoke
Formation Form Filed 2013-09-23 Formation

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Date of last update: 14 May 2025

Sources: Company Profile on Mississippi Secretary of State Website