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Sports Medicine Pharmacy, LLC

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Company Details

Name: Sports Medicine Pharmacy, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 23 Jun 2016 (9 years ago)
Business ID: 1095684
ZIP code: 39202
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 1325 E FORTIFICATION STREETJACKSON, MS 39202

Agent

Name Role Address
Meredith Warf Agent 1325 East Fortification Street, Jackson, MS 39202

Organizer

Name Role Address
Benjamin W. Roberson Organizer 1020 Highland Colony Parkway, Suite 1400, Ridgeland, MS 39157

Manager

Name Role Address
Allen Anderson Manager 1325 E Fortification Street, Jackson, MS 39202
James W Woodall Jr Manager 1325 E Fortification St, Jackson, MS 39202

National Provider Identifier

NPI Number:
1912452921

Authorized Person:

Name:
RANDY CALVERT
Role:
REGISTERED PHARMACIST
Phone:

Taxonomy:

Selected Taxonomy:
3336C0002X - Clinic Pharmacy
Is Primary:
No
Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
No
Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
Yes

Contacts:

Fax:
7697776390

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-20 Annual Report For Sports Medicine Pharmacy, LLC
Amendment Form Filed 2024-05-01 Amendment For Sports Medicine Pharmacy, LLC
Annual Report LLC Filed 2024-01-24 Annual Report For Sports Medicine Pharmacy, LLC
Annual Report LLC Filed 2023-01-18 Annual Report For Sports Medicine Pharmacy, LLC
Annual Report LLC Filed 2022-01-24 Annual Report For Sports Medicine Pharmacy, LLC
Annual Report LLC Filed 2021-01-29 Annual Report For Sports Medicine Pharmacy, LLC
Annual Report LLC Filed 2020-01-22 Annual Report For Sports Medicine Pharmacy, LLC
Annual Report LLC Filed 2019-01-14 Annual Report For Sports Medicine Pharmacy, LLC
Annual Report LLC Filed 2018-01-09 Annual Report For Sports Medicine Pharmacy, LLC
Annual Report LLC Filed 2017-03-15 Annual Report For Sports Medicine Pharmacy, LLC

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Date of last update: 17 May 2025

Sources: Company Profile on Mississippi Secretary of State Website