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ALCHEMY MED PLLC

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Company Details

Legal Name: ALCHEMY MED PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: April 1st 2020
Expiration date: 30 Apr 2026
UBI Number: 604 601 728
ZIP code: 98625
City: Kalama
County: COWLITZ
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 441 S 3RD PL, KALAMA, WA, 98625-0900, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 441 S 3RD PL, PO BOX 1009, KALAMA, WA, 98625, UNITED STATES

Contact Details

E-Mail: LIESELTOWER@GMAIL.COM
Phone Number: +1 360-214-9191

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
LIESEL TOWER Registered Agent 441 S 3RD PL, KALAMA, WA, 98625-0900, UNITED STATES

Key Officers & Management

Name Role Address
LIESEL TOWER Executor 1785 BLACKTAIL LN, WOODLAND, WA, 98674-9108, UNITED STATES
LIESEL TOWER Governing Person -

National Provider Identifier

NPI Number:
1427724392
Certification Date:
2021-08-19

Authorized Person:

Name:
MS. LIESEL TOWER
Role:
PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

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