| Name: | Valley Pharmacy & DME of East Alabama, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 26 Apr 2012 (13 years ago) (Companies founded in April 2012) |
| Entity Number: | 000-052-709 |
| Register Number: | 000052709 |
| ZIP code: | 36854 (Companies in Chambers, 36854) |
| County: | Chambers |
| Place of Formation: | Chambers County |
| Registered Office Street Address: | 3544 15TH AVENUEVALLEY, AL 36854 |
| Authorized Capital: | 10 @ $100.OOPV |
| Paid Share Capital: | $1,000 |
Activities
ENGAGE IN ANY LAWFUL BUSINESS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265085252 | 2019-07-19 | 2019-07-19 | 4103 20TH AVE, VALLEY, AL, 368543448, US | 4103 20TH AVE, VALLEY, AL, 368543448, US | |||||||||||||||||||||
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| Phone | +1 334-756-2037 |
| Fax | 3347569024 |
Authorized person
| Name | CRAIG LANE MOORE |
| Role | OWNER |
| Phone | 3347562037 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1388888 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| MOORE, ANGELA B | Agent | 3544 15TH AVENUEVALLEY, AL 36854 |
| Name | Role | Address |
|---|---|---|
| MOORE, ANGELA B | Director | 3544 15TH AVENUEVALLEY, AL 36854 |
| MOORE, CRAIG L | Director | 3544 15TH AVENUEVALLEY, AL 36854 |
| Name | Role | Address |
|---|---|---|
| MOORE, ANGELA B | Incorporator | 3544 15TH AVENUEVALLEY, AL 36854 |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
