| Name: | Patterson Pharmacy |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 11 Jan 1966 (59 years ago) |
| Entity Number: | 000-014-339 |
| Register Number: | 000014339 |
| Place of Formation: | Jefferson County |
| Principal Address: | LEEDS, AL |
| Authorized Capital: | $2,000 |
| Paid Share Capital: | $2,000 |
Activities
SELL MEDICINES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366583098 | 2007-02-08 | 2017-03-09 | PO BOX 155, LEEDS, AL, 350940003, US | 7513 PARKWAY DR, LEEDS, AL, 350944813, US | |||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||
| Phone | +1 205-699-5113 |
| Fax | 2056993750 |
Authorized person
| Name | JOHN PATTERSON |
| Role | PRESIDENT |
| Phone | 2056995113 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 107510 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100000168 |
| State | AL |
| Issuer | PK |
| Number | 1988809 |
| Name | Role | Address |
|---|---|---|
| PATTERSON, NORMA S | Incorporator | No data |
| PATTERSON, JOHN R | Incorporator | 1700 CHIPPENDALE ROADCANTONMENT, FL 32533 |
| SPIDLE, DOROTHY D | Incorporator | No data |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
