| Name: | C & L Drug Company of Cullman, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 31 Jan 1968 (57 years ago) (Companies founded in January 1968) |
| Entity Number: | 000-003-452 |
| Register Number: | 000003452 |
| Place of Formation: | Cullman County |
| Principal Address: | 607 8TH STREET NECULLMAN, AL |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
GENERAL DRUG BUSINESS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942750153 | 2016-10-12 | 2016-10-12 | 209 4TH AVE NE, CULLMAN, AL, 350551904, US | 209 4TH AVE NE, CULLMAN, AL, 350551904, US | |||||||||||||||||||||||||||||||
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| Phone | +1 256-734-6013 |
| Fax | 2567346458 |
Authorized person
| Name | REX SMITH |
| Role | PHARMACY MANAGER |
| Phone | 2567346013 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | 105290 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NABP |
| Number | 0103084 |
| State | AL |
| Issuer | MEDICAID |
| Number | 100000704 |
| State | AL |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6L7G9 | Obsolete | Non-Manufacturer | 2011-11-18 | 2023-08-17 | 2023-08-15 | No data | |||||||||||||
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| POC | REX SMITH |
| Phone | +1 256-734-6013 |
| Address | 209 4TH AVE NE, CULLMAN, AL, 35055 1904, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role |
|---|---|
| COPELAND, CLIFFORD E | Incorporator |
| COPELAND, JEANNE D | Incorporator |
| SMITH, THOMAS A JR | Incorporator |
Date of last update: 29 Jul 2024
Sources: Alabama Secretary of State
