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Mallette Drug Company, Inc.

Details

Name: Mallette Drug Company, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 01 Oct 1966 (58 years ago) (Companies founded in October 1966)
Entity Number: 000-011-886
Register Number: 000011886
Place of Formation: Covington County
Principal Address: ANDALUSIA, AL
Authorized Capital: $50,000
Paid Share Capital: $35,500

Activities DRUG BUSINESS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992839617 2007-03-15 2020-08-22 PO BOX 327, ANDALUSIA, AL, 364201205, US 837 S THREE NOTCH ST, ANDALUSIA, AL, 364205321, US

Contacts

Phone +1 334-222-1141
Fax 3342228361

Authorized person

Name BOBBY JOHN SCOTT
Role OWNER CHIEF PHARMACIST
Phone 3342221141

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
License Number 283
State AL
Is Primary Yes

Other Provider Identifiers

Issuer BCBSAL DMERC SUPPLIER
Number 510-50553
State AL

Incorporator

Name Role
MALLETTE, W A Incorporator
SALTER, WILLIAM R Incorporator
ROLAND, W R Incorporator

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State