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Boaz Discount Drugs, Inc.

Details

Name: Boaz Discount Drugs, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 03 Jun 1981 (43 years ago)
Entity Number: 000-082-679
Register Number: 000082679
County: Marshall
Place of Formation: Marshall County
Principal Address: BOAZ, AL
Registered Office Street Address: 307 EAST MILL AVENUEBOAZ, AL 35957
Registered Office Street Address ZIP Code: 35957
Authorized Capital: $2,000

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821092230 2005-06-13 2011-10-31 PO BOX 573, BOAZ, AL, 359570573, US 10460 ALABAMA HWY 168, SUITE 1, BOAZ, AL, 359571951, US

Contacts
Phone +1 256-593-6546
Fax 2565933137

Authorized person
Name MR. CARY DALE JOHNSON III
Role PRESIDENT
Phone 2565936546

Taxonomy
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number 101645
State AL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 100001098
State AL
Issuer NABP#
Number 0101143
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BOAZ DISCOUNT DRUGS, INC. PROFIT SHARING PLAN 2022 630809664 2024-05-01 BOAZ DISCOUNT DRUGS, INC. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-06-03
Business code 446110
Sponsor’s telephone number 2565936546
Plan sponsor’s address 10402 AL HIGHWAY 168, BOAZ, AL, 359571951
BOAZ DISCOUNT DRUGS, INC. PROFIT SHARING PLAN 2021 630809664 2023-05-01 BOAZ DISCOUNT DRUGS, INC. 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-06-03
Business code 446110
Sponsor’s telephone number 2565936546
Plan sponsor’s address 10402 AL HIGHWAY 168, BOAZ, AL, 359571951
BOAZ DISCOUNT DRUGS, INC. PROFIT SHARING PLAN 2020 630809664 2022-01-19 BOAZ DISCOUNT DRUGS, INC. 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-06-03
Business code 446110
Sponsor’s telephone number 2565936546
Plan sponsor’s address 10402 AL HIGHWAY 168, BOAZ, AL, 359571951
BOAZ DISCOUNT DRUGS, INC. PROFIT SHARING PLAN 2019 630809664 2021-02-24 BOAZ DISCOUNT DRUGS, INC. 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-06-03
Business code 446110
Sponsor’s telephone number 2565936546
Plan sponsor’s address 10402 AL HIGHWAY 168, BOAZ, AL, 359571951
BOAZ DISCOUNT DRUGS, INC. PROFIT SHARING PLAN 2018 630809664 2020-04-27 BOAZ DISCOUNT DRUGS, INC. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-06-03
Business code 446110
Sponsor’s telephone number 2565936546
Plan sponsor’s address 10402 AL HIGHWAY 168, BOAZ, AL, 359571951

Signature of
Role Plan administrator
Date 2020-04-27
Name of individual signing CARY JOHNSON
BOAZ DISCOUNT DRUGS, INC. PROFIT SHARING PLAN 2017 630809664 2019-07-03 BOAZ DISCOUNT DRUGS, INC. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-06-03
Business code 446110
Sponsor’s telephone number 2565936546
Plan sponsor’s address 10402 AL HIGHWAY 168, BOAZ, AL, 359571951

Signature of
Role Plan administrator
Date 2019-07-03
Name of individual signing CARY JOHNSON
BOAZ DISCOUNT DRUGS, INC. PROFIT SHARING PLAN 2016 630809664 2018-03-25 BOAZ DISCOUNT DRUGS, INC. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-06-03
Business code 446110
Sponsor’s telephone number 2565936546
Plan sponsor’s address 10402 AL HIGHWAY 168, BOAZ, AL, 359571951

Signature of
Role Plan administrator
Date 2018-03-25
Name of individual signing CARY JOHNSON
BOAZ DISCOUNT DRUGS, INC. PROFIT SHARING PLAN 2015 630809664 2017-03-15 BOAZ DISCOUNT DRUGS, INC. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-06-03
Business code 446110
Sponsor’s telephone number 2565936546
Plan sponsor’s address 10402 AL HIGHWAY 168, BOAZ, AL, 359571951

Signature of
Role Plan administrator
Date 2017-03-15
Name of individual signing CARY JOHNSON
BOAZ DISCOUNT DRUGS, INC. PROFIT SHARING PLAN 2014 630809664 2016-04-12 BOAZ DISCOUNT DRUGS, INC. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-06-03
Business code 446110
Sponsor’s telephone number 2565936546
Plan sponsor’s address 10402 AL HIGHWAY 168, BOAZ, AL, 359571951

Signature of
Role Plan administrator
Date 2016-04-12
Name of individual signing CARY JOHNSON
BOAZ DISCOUNT DRUGS, INC. PROFIT SHARING PLAN 2014 630809664 2016-04-12 BOAZ DISCOUNT DRUGS, INC. 43
Three-digit plan number (PN) 001
Effective date of plan 1981-06-03
Business code 446110
Sponsor’s telephone number 2565936546
Plan sponsor’s address 10402 AL HIGHWAY 168, BOAZ, AL, 359571951

Signature of
Role Plan administrator
Date 2016-04-12
Name of individual signing CARY JOHNSON

Agent

Name Role
JOHNSON, CARY DALE Agent

Incorporator

Name Role
JOHNSON, CARY DALE Incorporator

Related by officers

JOHNSON, CARY DALE

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307 EAST MILL AVENUEBOAZ, AL 35957

The Gold Market, Inc.

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State

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