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Austin Drug Company, Inc.

Details

Name: Austin Drug Company, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 18 Aug 1966 (58 years ago) (Companies founded in August 1966)
Entity Number: 000-001-487
Register Number: 000001487
Place of Formation: Morgan County
Principal Address: DECATUR, AL
Authorized Capital: $12,000
Paid Share Capital: $12,000

Activities DRUG BUSINESS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1942352745 2007-01-18 2009-03-11 2422 DANVILLE RD SW STE J, DECATUR, AL, 356034221, US 2422 DANVILLE RD SW STE J, DECATUR, AL, 356034221, US

Contacts

Phone +1 256-353-1121
Fax 2563531790

Authorized person

Name SAMUEL MARION COSTELLO
Role PRESIDENT
Phone 2563531121

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary No
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number 111104
State AL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 009604910
State AL

Incorporator

Name Role
HUDSON, LEONARD Incorporator
HUDSON, JOYCE M Incorporator
BITTLE, LAURA R Incorporator
BITTLE, DAVID F Incorporator

Date of last update: 29 Jul 2024

Sources: Alabama Secretary of State