Name: | Gross Drug Co., Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 25 Jan 2011 (14 years ago) |
Entity Number: | 000-002-231 |
Register Number: | 000002231 |
Place of Formation: | Walker County |
Registered Office Mailing Address: | PO BOX 380OAKMAN, AL |
Authorized Capital: | 1,000 @ 1.00 PV |
Activities
PRODUCE/PURCHASE/COMPOUND DRUGS/CHEMICALS/MEDICINES/SUPPLIES
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1154462414 | 2007-02-09 | 2017-03-15 | PO BOX 205, PARRISH, AL, 355800205, US | 6456 AL HWY 269, PARRISH, AL, 35580, US | |||||||||||||||||||||||||||||||||
|
Phone | +1 205-686-9945 |
Fax | 2056869993 |
Authorized person
Name | TAMMY HADDER |
Role | OWNER |
Phone | 2056869945 |
Taxonomy
Taxonomy Code | 333600000X - Pharmacy |
Is Primary | No |
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
License Number | 109991 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 100003675 |
State | AL |
Issuer | PK |
Number | 1990076 |
Name | Role | Address |
---|---|---|
HADDER, THOMAS B JR | Agent | 6456 ALABAMA HWY 269PARRISH, AL 35580 |
Name | Role | Address |
---|---|---|
HADDER, THOMAS B JR | Director | 6456 ALABAMA HWY 269PARRISH, AL 35580 |
Name | Role | Address |
---|---|---|
HADDER, THOMAS B JR | Incorporator | 6456 ALABAMA HWY 269PARRISH, AL 35580 |
Date of last update: 29 Jul 2024
Sources: Alabama Secretary of State