| Name: | King Drug Co., Incorporated |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 01 Nov 1972 (52 years ago) |
| Entity Number: | 000-028-605 |
| Register Number: | 000028605 |
| County: | Geneva |
| Place of Formation: | Geneva County |
| Principal Address: | SAMSON, AL |
| Registered Office Street Address: | 7 NORTH BROAD STREETSAMSON, AL 36477 |
| Registered Office Street Address ZIP Code: | 36477 |
| Registered Office Mailing Address: | 7 NORTH BROAD STREETSAMSON, AL 36340 |
| Registered Office Mailing Address ZIP Code: | 36340 |
| Authorized Capital: | $5,000 |
| Paid Share Capital: | $5,000 |
Activities
DRUG BUSINESS
| 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 | |||||||||||||||||||||||||||||||||||||
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| 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 |
| Name | Role |
|---|---|
| PAUL, CHARLES R | Incorporator |
| KING, FRANCIS L | Incorporator |
| KING, GRAY O | Incorporator |
| Name | Role |
|---|---|
| MCCOY, TRACI R | Agent |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
