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Evergreen Discount Pharmacy Inc

Details

Name: Evergreen Discount Pharmacy Inc
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 27 Jun 2011 (13 years ago)
Date of dissolution: 26 Aug 2016
Entity Number: 000-017-533
Register Number: 000017533
County: Mobile
Place of Formation: Conecuh County
Registered Office Street Address: 10822 LEGACY LANEMOBILE, AL 36608
Registered Office Street Address ZIP Code: 36608
Authorized Capital: 1,000

Activities ANY LAWFUL PURPOSE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821386475 2011-07-18 2011-11-15 310 W FRONT ST, EVERGREEN, AL, 364012837, US 310 W FRONT ST, EVERGREEN, AL, 364012837, US

Contacts

Phone +1 251-578-5061

Authorized person

Name RUSSELL SHELDT
Role PRESIDENT/PHARMACY MANAGER
Phone 8505874008

Taxonomy

Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number 113781
State AL
Is Primary Yes

Agent

Name Role
BROWN, PENNY D Agent

Director

Name Role Address
SHELDT, RUSSELL W Director 4833 CHAUDRON ROADMOLINO, FL 32577

Incorporator

Name Role Address
SCHELDT, RUSSELL W Incorporator 310 WEST FRONT STREETEVERGREEN, AL 36401

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State