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WILLOUGHBY'S PHARMACY LLC

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Company Details

Name: WILLOUGHBY'S PHARMACY LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 27 Mar 2023 (2 years ago)
Business ID: 1385613
ZIP code: 39110
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 148 Northshore WayMadison, MS 39110

Agent

Name Role Address
KENNETH W WILLOUGHBY Agent 148 NORTHSHORE WAY, MADISON, MS 39110

Organizer

Name Role Address
KENNETH W WILLOUGHBY Organizer 148 NORTHSHORE WAY, MADISON, MS 39110

Manager

Name Role Address
Kenneth Willoughby Manager 148 Nothshore Way, Madison, MS 39110

National Provider Identifier

NPI Number:
1376315556
Certification Date:
2023-10-23

Authorized Person:

Name:
KENNETH WAYNE WILLOUGHBY
Role:
OWNER/PHARMACIST
Phone:

Taxonomy:

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

Contacts:

Fax:
8779099434

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-06-06 Annual Report For WILLOUGHBY'S PHARMACY LLC
Formation Form Filed 2023-03-27 Formation For WILLOUGHBY'S PHARMACY LLC

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Date of last update: 02 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website