| Name: | Pilcher-McBryde Drug Company |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 01 Oct 1975 (49 years ago) |
| Entity Number: | 000-039-539 |
| Register Number: | 000039539 |
| Place of Formation: | Dallas County |
| Principal Address: | SELMA, AL |
| Registered Office Street Address: | 101 BROAD STSELMA, AL 36701-4606 |
| Authorized Capital: | $10,000 |
| Paid Share Capital: | $10,000 |
Activities
RETAIL DRUG STORE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801899463 | 2005-05-27 | 2023-05-05 | PO BOX 1168, SELMA, AL, 367021168, US | 101 BROAD ST, SELMA, AL, 367014606, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 334-875-7208 |
| Fax | 3348752855 |
Authorized person
| Name | DR. JAMES W. CREECH, JR. |
| Role | PRESIDENT/ CO-OWNER |
| Phone | 3348757208 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 107790 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | 107790 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 107790 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | 107790 |
| State | AL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | AL BS BC |
| Number | 51051380 |
| Issuer | MEDICAID |
| Number | 100000225 |
| State | AL |
| Issuer | NABP OR NCPDP |
| Number | 0109618 |
| State | AL |
| Issuer | MEDICAID |
| Number | 009806250 |
| State | AL |
| Name | Role |
|---|---|
| CREECH, JAMES W JR | Agent |
| Name | Role |
|---|---|
| RATCLIFFE, JEFFERSON G | Incorporator |
| PILCHER, JOE T SR | Incorporator |
| STACK, LEWIS B | Incorporator |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
