| Name: | ProPharm, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 29 Aug 1979 (45 years ago) |
| Date of dissolution: | 01 Oct 2008 |
| Entity Number: | 000-057-957 |
| Register Number: | 000057957 |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Principal Address: | TUSCALOOSA, AL |
| Registered Office Street Address: | 2802 LURLEEN WALLACE BLVDNORTHPORT, AL 35476 |
| Registered Office Street Address ZIP Code: | 35476 |
| Authorized Capital: | $10,000 |
| Paid Share Capital: | $10,000 |
Activities
PHARMACEUTICAL SUPPLIES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154497071 | 2006-11-24 | 2008-03-11 | 3500 NORTHBROOK DR, SUITE E, NORTHPORT, AL, 354735818, US | 3500 NORTHBROOK DRIVE, SUITE E, NORTHPORT, AL, 354735818, US | |||||||||||||||||||||
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| Phone | +1 205-339-5951 |
| Fax | 2053302432 |
Authorized person
| Name | PHILLIP R JENKINS |
| Role | PRESIDENT |
| Phone | 2053395951 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE ID NUMBER |
| Number | 0542360001 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| JENKINS, PHILLIP R | Agent | 12740 COUNTRY LANENORTHPORT, AL 35473 |
| Name | Role | Address |
|---|---|---|
| MYERS, JAMES N | Incorporator | No data |
| JENKINS, PHILLIP R | Incorporator | 12740 COUNTRY LANENORTHPORT, AL 35473 |
| JENKINS, LINDA S | Incorporator | No data |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
