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Precision Pharmacy Wellness and Compounding, LLC

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Company Details

Name: Precision Pharmacy Wellness and Compounding, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 25 Jan 2023 (2 years ago)
Business ID: 1375573
ZIP code: 39402
County: Lamar
State of Incorporation: MISSISSIPPI
Principal Office Address: 6766 us hwy 98 , suite 8hattiesburg, MS 39402

Agent

Name Role Address
Benjamin A Snow Esq Agent 14 Bellegrass Boulevard, Hattiesburg, MS 39402

Organizer

Name Role Address
Joseph P Parker Organizer 105 Shelby Speights Drive, Purvi, MS 39475

Member

Name Role Address
William T Cochran Jr Member 119 W Canebrake Blvd, Hattiesburg, MS 39402
Kenneth E Crawford III Member 23 Christina Drive, Hattiesburg, MS 39402
Robert H Parker Member 48 Sunset Drive, Purvis, MS 39475

Manager

Name Role Address
Todd Garris Manager 94 Canebrake Blvd, Hattiesburg, MS 39402

National Provider Identifier

NPI Number:
1346096898
Certification Date:
2024-04-25

Authorized Person:

Name:
MR. KENNETH EARL CRAWFORD III
Role:
VICE-PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
3336L0003X - Long Term Care Pharmacy
Is Primary:
Yes

Contacts:

Fax:
6012550309

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-06-27 Annual Report For Precision Pharmacy Wellness and Compounding, LLC
Amendment Form Filed 2023-04-04 Amendment For Precision Pharmacy Wellness and Compounding, LLC
Formation Form Filed 2023-01-25 Formation For Precision Pharmacy Wellness and Compounding, LLC

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Date of last update: 01 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website