| Entity Name: | WILLIAMS LTC PHARMACY, LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | NGS |
| Date Formed: | 26 Aug 2013 |
| Company Number: | LLC_04420977 |
| File Number: | 04420977 |
| Type of Management: | Manager Managed |
| Date Status Change: | 01 Aug 2024 |
| Address | 10 WILLIAMS BROS DRIVE, WASHINGTON, 47501, IN |
| Place of Formation: | INDIANA |
| Name and Address | Role | Appointment Date |
|---|---|---|
| WILLIAMS BROS. HEALTH CARE PHA, 1029 E MAIN ST, OLNEY, 62450 | Agent | 2013-08-26 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| WILLIAMS, CHARLES C, 10 WILLIAMS BROS DRIVE,, WASHINGTON,, IN, 47501 | Manager | 2013-08-26 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| HME AND SERVICES PROV | 203001778 | No data | No data | HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER | No data | 2015-07-09 | 2024-01-04 | 2027-03-31 |
| PHARMACY | 054018509 | No data | No data | LICENSED PHARMACY | No data | 2014-02-27 | 2024-01-10 | 2026-03-31 |
Date of last update: 23 Dec 2024
