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King Drug Co., Incorporated

Details

Name: King Drug Co., Incorporated
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 01 Nov 1972 (52 years ago) (Companies founded in November 1972)
Entity Number: 000-028-605
Register Number: 000028605
ZIP code: 36477 (Companies in Geneva, 36477)
County: Geneva
Place of Formation: Geneva County
Principal Address: SAMSON, AL
Registered Office Street Address: 7 NORTH BROAD STREETSAMSON, AL 36477
Registered Office Mailing Address: 7 NORTH BROAD STREETSAMSON, AL 36340
Authorized Capital: $5,000
Paid Share Capital: $5,000

Activities DRUG BUSINESS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1245334291 2006-09-12 2018-07-19 7 N BROAD ST, SAMSON, AL, 364771101, US 7 N BROAD ST, SAMSON, AL, 364771101, US

Contacts

Phone +1 334-898-2115
Fax 3348989239

Authorized person

Name TRACI MCCOY
Role OWNER/PIC
Phone 3348982115

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary No
Taxonomy Code 333600000X - Pharmacy
Is Primary No
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number 105840
State AL
Is Primary Yes

Other Provider Identifiers

Issuer PK
Number 1988910
Issuer MEDICAID
Number 100001948
State AL

Incorporator

Name Role
PAUL, CHARLES R Incorporator
KING, FRANCIS L Incorporator
KING, GRAY O Incorporator

Agent

Name Role
MCCOY, TRACI R Agent

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State