| Name: | Faf Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 15 Sep 2011 (13 years ago) |
| Entity Number: | 000-025-551 |
| Register Number: | 000025551 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | 2599 SPARKMAN DR STE BHUNTSVILLE, AL 35810 |
| Principal Address ZIP Code: | 35810 |
| Registered Office Street Address: | 2015 SPARKMAN DR NWHUNTSVILLE, AL 35810 |
| Registered Office Street Address ZIP Code: | 35810 |
| Authorized Capital: | 1000 |
Activities
PHARMACY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982175956 | 2018-12-17 | 2019-12-09 | 4040 MEMORIAL PKWY SW STE L, HUNTSVILLE, AL, 358024364, US | 4040 MEMORIAL PKWY SW STE L, HUNTSVILLE, AL, 358024364, US | |||||||||||||||||||||||||
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| Phone | +1 256-705-6499 |
| Fax | 2567056497 |
Authorized person
| Name | ASHLEY WATSON |
| Role | PHARMACY MANAGER |
| Phone | 2567056499 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 182372 |
| State | AL |
| Name | Role |
|---|---|
| WATSON, KRESTON A | Agent |
| Name | Role | Address |
|---|---|---|
| ISFAHANI, FARZAN | Director | 1200 PRESIDENTS WAYHUNTSVILLE, AL 35803 |
| WATSON, KRESTON ALAN | Director | 2015 SPARKMAN DR NWHUNTSVILLE, AL 35810 |
| Name | Role | Address |
|---|---|---|
| ISFAHANI, FARZAN | Incorporator | 1200 PRESIDENTS WAYHUNTSVILLE, AL 35803 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
