| Name: | HACKLEBURG PHARMACY, INC. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 20 Feb 2012 (13 years ago) (Companies founded in February 2012) |
| Entity Number: | 000-042-305 |
| Register Number: | 000042305 |
| ZIP code: | 35564 (Companies in Marion, 35564) |
| County: | Marion |
| Place of Formation: | Marion County |
| Registered Office Street Address: | 34885 HIGHWAY 43HACKLEBURG, AL 35564 |
| Authorized Capital: | 1000 @ $1.00 PV |
Activities
ANY OR ALL LAWFUL BUSINESS
| 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 | |||||||||||||||||||||||
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| 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 |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7LJV1 | Obsolete | Non-Manufacturer | 2016-04-12 | 2022-04-09 | 2022-04-08 | No data | |||||||||||||||
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| POC | VINCE HUGHES |
| Phone | +1 205-935-3392 |
| Fax | +1 205-935-3393 |
| Address | 34863 US HWY 43, HACKLEBURG, AL, 35564 4281, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role | Address |
|---|---|---|
| MORROW, STANLEY K | Agent | 79 BEDFORD CIRCLERUSSELLVILLE, AL 35653 |
| Name | Role | Address |
|---|---|---|
| MORROW, STANLEY K | Director | 79 BEDFORD CIRCLERUSSELLVILLE, AL 35653 |
| HUGHES, VINCENT WARREN | Director | 3701 CO HWY 62HALEYVILLE, AL 35565 |
| 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
