| Name: | Valley Drug Company |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 22 May 1968 (57 years ago) (Companies founded in May 1968) |
| Entity Number: | 000-019-238 |
| Register Number: | 000019238 |
| Place of Formation: | Morgan County |
| Principal Address: | DECATUR, AL |
| Authorized Capital: | $10,000 |
| Paid Share Capital: | $10,000 |
Activities
OPERATE DRUG STORE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942380282 | 2006-10-17 | 2013-06-03 | 1302 SOMERVILLE RD SE, DECATUR, AL, 356014337, US | 1302 SOMERVILLE RD SE, DECATUR, AL, 356014337, US | |||||||||||||||||||||||||
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| Phone | +1 256-355-8015 |
| Fax | 2563557684 |
Authorized person
| Name | MUSTAFA ISSA ELAYAN |
| Role | PRESIDENT |
| Phone | 2563558015 |
Taxonomy
| Taxonomy Code | 183500000X - Pharmacist |
| License Number | 109900 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100001288 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| ELAYAN, MUSTAFA I | Incorporator | 213 BROCKTON DRMADISON, AL 35756 |
| ELAYAN, SANDRA B | Incorporator | No data |
| ELAYAN, IBRAHIM | Incorporator | No data |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
