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Ashland Pharmacy, Inc.

Details

Name: Ashland Pharmacy, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 12 Dec 1977 (47 years ago)
Entity Number: 000-049-101
Register Number: 000049101
County: Clay
Place of Formation: Clay County
Principal Address: ASHLAND, AL
Registered Office Street Address: 83074 HWY 9ASHLAND, AL 36251
Registered Office Street Address ZIP Code: 36251
Authorized Capital: $40,000
Paid Share Capital: $20,000

Activities RETAIL SELL OF DRUGS
JEWELRY
COSMETICS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003850785 2006-06-15 2024-02-09 PO BOX 487, ASHLAND, AL, 362510487, US 83074 HIGHWAY 9, 83074 HWY 9, ASHLAND, AL, 362517975, US

Contacts
Phone +1 256-354-2166
Fax 2563542168

Authorized person
Name PHYLLIS HUBBARD
Role BOOKKEEPER
Phone 2563542166

Taxonomy
Taxonomy Code 333600000X - Pharmacy
Is Primary No
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number 101240
State AL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 000050670
State AL
Issuer MEDICAID
Number 100000278
State AL
Issuer PK
Number 2121703

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ASHLAND PHARMACY, INC - MONEY PURCHASE PLAN 2009 630738414 2012-02-29 ASHLAND PHARMACY, INC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 446110
Sponsor’s telephone number 2563542166
Plan sponsor’s mailing address P.O. BOX 487, ASHLAND, AL, 36251
Plan sponsor’s address P.O. BOX 487, ASHLAND, AL, 36251

Plan administrator’s name and address
Administrator’s EIN 630738414
Plan administrator’s name ASHLAND PHARMACY, INC
Plan administrator’s address P.O. BOX 487, ASHLAND, AL, 36251
Administrator’s telephone number 2563542166

Number of participants as of the end of the plan year
Active participants 0
Number of participants with account balances as of the end of the plan year 0

Signature of
Role Plan administrator
Date 2012-02-29
Name of individual signing ERIC STANLEY SMITH
Valid signature Filed with authorized/valid electronic signature
ASHLAND PHARMACY, INC - PROFIT SHARING PLAN 2009 630738414 2012-02-29 ASHLAND PHARMACY, INC 8
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 446110
Sponsor’s telephone number 2563542166
Plan sponsor’s mailing address P.O. BOX 487, ASHLAND, AL, 36251
Plan sponsor’s address P.O. BOX 487, ASHLAND, AL, 36251

Plan administrator’s name and address
Administrator’s EIN 630738414
Plan administrator’s name ASHLAND PHARMACY, INC
Plan administrator’s address P.O. BOX 487, ASHLAND, AL, 36251
Administrator’s telephone number 2563542166

Number of participants as of the end of the plan year
Active participants 0
Number of participants with account balances as of the end of the plan year 0

Signature of
Role Plan administrator
Date 2012-02-29
Name of individual signing ERIC STANLEY SMITH
Valid signature Filed with authorized/valid electronic signature
ASHLAND PHARMACY, INC - MONEY PURCHASE PLAN 2009 630738414 2012-02-29 ASHLAND PHARMACY, INC 8
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 446110
Sponsor’s telephone number 2563542166
Plan sponsor’s mailing address P.O. BOX 487, ASHLAND, AL, 36251
Plan sponsor’s address P.O. BOX 487, ASHLAND, AL, 36251

Plan administrator’s name and address
Administrator’s EIN 630738414
Plan administrator’s name ASHLAND PHARMACY, INC
Plan administrator’s address P.O. BOX 487, ASHLAND, AL, 36251
Administrator’s telephone number 2563542166

Number of participants as of the end of the plan year
Active participants 0
Number of participants with account balances as of the end of the plan year 0

Signature of
Role Plan administrator
Date 2012-02-29
Name of individual signing ERIC STANLEY SMITH
Valid signature Filed with authorized/valid electronic signature
ASHLAND PHARMACY, INC - PROFIT SHARING PLAN 2009 630738414 2012-02-29 ASHLAND PHARMACY, INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 446110
Sponsor’s telephone number 2563542166
Plan sponsor’s mailing address P.O. BOX 487, ASHLAND, AL, 36251
Plan sponsor’s address P.O. BOX 487, ASHLAND, AL, 36251

Plan administrator’s name and address
Administrator’s EIN 630738414
Plan administrator’s name ASHLAND PHARMACY, INC
Plan administrator’s address P.O. BOX 487, ASHLAND, AL, 36251
Administrator’s telephone number 2563542166

Number of participants as of the end of the plan year
Active participants 0
Number of participants with account balances as of the end of the plan year 0

Signature of
Role Plan administrator
Date 2012-02-29
Name of individual signing ERIC STANLEY SMITH
Valid signature Filed with authorized/valid electronic signature
ASHLAND PHARMACY, INC - PROFIT SHARING PLAN 2009 630738414 2012-02-29 ASHLAND PHARMACY, INC 8
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 446110
Sponsor’s telephone number 2563542166
Plan sponsor’s mailing address P.O. BOX 487, ASHLAND, AL, 36251
Plan sponsor’s address P.O. BOX 487, ASHLAND, AL, 36251

Plan administrator’s name and address
Administrator’s EIN 630738414
Plan administrator’s name ASHLAND PHARMACY, INC
Plan administrator’s address P.O. BOX 487, ASHLAND, AL, 36251
Administrator’s telephone number 2563542166

Number of participants as of the end of the plan year
Active participants 0
Number of participants with account balances as of the end of the plan year 0

Signature of
Role Plan administrator
Date 2012-02-29
Name of individual signing ERIC STANLEY SMITH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
PHILLIPS, MICHELLE Agent

Incorporator

Name Role
SIMS, CALVIN C Incorporator
DAVIS, WILLIAM G Incorporator
ANGEL, TOMMIE Incorporator

Events

Event Date Event Type Old Value New Value
1978-02-24 Capital Change $20,000 Authorized $20,000 Paid In $40,000 Authorized $20,000 Paid In

Related by officers

DAVIS, WILLIAM G

Bill Davis Contractor, Inc. Central Anniston Enterprises, Inc. Lou's Dress Shop, Inc. Fair's Family Restaurant, Inc. Southeastern Trailer Brokers, Inc. Christian/Foley, Architects, P.C. Coin-Op of Anniston, Inc. D & G Enterprises, Inc. Miller Poultry & Feed Company, Inc. Mobile Pump & Machinery, Inc.

ANGEL, TOMMIE

Interstate Gulf, Inc. Property Development Corporation

Related by address

ASHLAND, AL

Ashland Motor Co. Clay Service Corporation Southland Manufacturing Company Wellborn Cabinet, Inc. Saxon Motor Company, Inc. Royster Enterprises, Inc. Gaither Gas, Inc. Joe Mattox & Associates Q & E Self Service Car Wash, Inc.

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State

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