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HACKLEBURG PHARMACY, INC.

Details

Name: HACKLEBURG PHARMACY, INC.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 20 Feb 2012 (13 years ago)
Entity Number: 000-042-305
Register Number: 000042305
County: Marion
Place of Formation: Marion County
Registered Office Street Address: 34885 HIGHWAY 43HACKLEBURG, AL 35564
Registered Office Street Address ZIP Code: 35564
Authorized Capital: 1000 @ $1.00 PV

Activities ANY OR ALL LAWFUL BUSINESS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083972202 2012-04-25 2013-08-09 PO BOX 167, HACKLEBURG, AL, 355640167, US 34863 US HIGHWAY 43, HACKLEBURG, AL, 355644281, US

Contacts

Phone +1 205-935-3392
Fax 2059353393

Authorized person

Name VINCENT HUGHES
Role PHARMACIST/OWNER
Phone 2059353392

Taxonomy

Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number 113891
State AL
Is Primary Yes

Other Provider Identifiers

Issuer NCPDP PROVIDER IDENTIFICATION NUMBER
Number 0137770

Agent

Name Role Address
MORROW, STANLEY K Agent 79 BEDFORD CIRCLERUSSELLVILLE, AL 35653

Director

Name Role Address
MORROW, STANLEY K Director 79 BEDFORD CIRCLERUSSELLVILLE, AL 35653
HUGHES, VINCENT WARREN Director 3701 CO HWY 62HALEYVILLE, AL 35565

Incorporator

Name Role Address
MORROW, STANLEY K Incorporator 79 BEDFORD CIRCLERUSSELLVILLE, AL 35653
HUGHES, VINCENT W Incorporator 3701 CO HWY 62HALEYVILLE, AL 35565

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State