| Name: | Reform Pharmacy, Incorporated |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 27 Feb 1969 (56 years ago) |
| Date of dissolution: | 19 Dec 2016 |
| Entity Number: | 000-015-532 |
| Register Number: | 000015532 |
| Place of Formation: | Pickens County |
| Principal Address: | REFORM, AL |
| Authorized Capital: | $6,000 |
| Paid Share Capital: | $4,000 |
Activities
DRUG STORE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356381222 | 2006-06-07 | 2023-03-07 | PO BOX 337, REFORM, AL, 354810337, US | 211 1ST STREET SOUTH, REFORM, AL, 35481, US | |||||||||||||||||||||||||||||
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| Phone | +1 205-375-2505 |
| Fax | 2053759073 |
Authorized person
| Name | MR. PAUL LARRY HANDLEY |
| Role | PHARMICIST |
| Phone | 2053752505 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| State | AL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NCPDP NUMBER |
| Number | 0101268 |
| State | AL |
| Name | Role |
|---|---|
| DAVIS, F HAROLD | Incorporator |
| HANDLEY, LARRY | Incorporator |
| DAVIS, CAROLYN G | Incorporator |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
