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Eastern Valley Drugs, Inc.

Details

Name: Eastern Valley Drugs, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 14 Jul 1983 (41 years ago) (Companies founded in July 1983)
Entity Number: 000-093-113
Register Number: 000093113
ZIP code: 35020 (Companies in Jefferson, 35020)
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BESSEMER, AL
Registered Office Street Address: 1300 EASTERN VALLEY RDBESSEMER, AL 35020
Authorized Capital: $10,000
Paid Share Capital: $10,000

Activities RETAIL DRUG BUSINESS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1568449049 2005-12-27 2012-06-12 1310 EASTERN VALLEY RD, BESSEMER, AL, 350208609, US 1310 EASTERN VALLEY RD, BESSEMER, AL, 350208609, US

Contacts
Phone +1 205-425-5258
Fax 2054251373

Authorized person
Name MR. CHARLES E PRICKETT
Role PARTNER
Phone 2054255258

Taxonomy
Taxonomy Code 183500000X - Pharmacist
License Number 072782
State AL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 000052500
State AL
Issuer BLUE CROSS BLUE SHIELD
Number 51052500
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EASTERN VALLEY DRUGS, INC 401(K) PS PLAN 2022 630850691 2024-02-24 EASTERN VALLEY DRUGS, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 446110
Sponsor’s telephone number 2054255258
Plan sponsor’s address 1310 EASTERN VALLEY ROAD, BESSEMER, AL, 35020

Signature of
Role Plan administrator
Date 2024-02-24
Name of individual signing KERRY PRICKETT
EASTERN VALLEY DRUGS, INC 401(K) PS PLAN 2021 630850691 2023-07-10 EASTERN VALLEY DRUGS, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 446190
Sponsor’s telephone number 2054255258
Plan sponsor’s address 1310 EASTERN VALLEY ROAD, BESSEMER, AL, 35020

Signature of
Role Plan administrator
Date 2023-07-10
Name of individual signing KERRY PRICKETT
EASTERN VALLEY DRUGS, INC 401(K) PS PLAN 2020 630850691 2022-07-05 EASTERN VALLEY DRUGS, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 446190
Sponsor’s telephone number 2054255258
Plan sponsor’s address 1310 EASTERN VALLEY ROAD, BESSEMER, AL, 35020

Signature of
Role Plan administrator
Date 2022-07-05
Name of individual signing KERRY PRICKETT
Role Employer/plan sponsor
Date 2022-07-05
Name of individual signing KERRY PRICKETT
EASTERN VALLEY DRUGS, INC 401(K) PS PLAN 2019 630850691 2020-12-02 EASTERN VALLEY DRUGS, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 446190
Sponsor’s telephone number 2054255258
Plan sponsor’s address 1310 EASTERN VALLEY ROAD, BESSEMER, AL, 35020

Signature of
Role Plan administrator
Date 2020-12-02
Name of individual signing KERRY PRICKETT
Role Employer/plan sponsor
Date 2020-12-02
Name of individual signing KERRY PRICKETT
EASTERN VALLEY DRUGS, INC 401(K) PS PLAN 2018 630850691 2020-02-05 EASTERN VALLEY DRUGS, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 446190
Sponsor’s telephone number 2054255258
Plan sponsor’s address 1310 EASTERN VALLEY ROAD, BESSEMER, AL, 35020

Signature of
Role Plan administrator
Date 2020-02-05
Name of individual signing KERRY PRICKETT
EASTERN VALLEY DRUGS, INC. 401(K) PS PLAN 2017 630850691 2019-04-26 EASTERN VALLEY DRUGS, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 446190
Sponsor’s telephone number 2054255258
Plan sponsor’s address 1310 EASTERN VALLEY ROAD, BESSEMER, AL, 35020

Signature of
Role Plan administrator
Date 2019-04-26
Name of individual signing KERRY PRICKETT
EASTERN VALLEY DRUGS, INC. 401(K) PS PLAN 2016 630850691 2017-11-27 EASTERN VALLEY DRUGS, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 446190
Sponsor’s telephone number 2054255258
Plan sponsor’s address 1310 EASTERN VALLEY ROAD, BESSEMER, AL, 35020

Signature of
Role Plan administrator
Date 2017-11-27
Name of individual signing KERRY PRICKETT
EASTERN VALLEY DRUGS, INC. 401(K) PS PLAN 2015 630850691 2016-12-07 EASTERN VALLEY DRUGS, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 446190
Sponsor’s telephone number 2054255258
Plan sponsor’s address 1310 EASTERN VALLEY ROAD, BESSEMER, AL, 35020

Signature of
Role Plan administrator
Date 2016-12-07
Name of individual signing KERRY PRICKETT
EASTERN VALLEY DRUGS, INC. 401(K) PS PLAN 2014 630850691 2015-12-09 EASTERN VALLEY DRUGS, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 446190
Sponsor’s telephone number 2054255258
Plan sponsor’s address 1310 EASTERN VALLEY ROAD, BESSEMER, AL, 35020

Signature of
Role Plan administrator
Date 2015-12-09
Name of individual signing KERRY PRICKETT
Role Employer/plan sponsor
Date 2015-12-09
Name of individual signing KERRY PRICKETT
EASTERN VALLEY DRUGS, INC. 401(K) PS PLAN 2013 630850691 2015-01-19 EASTERN VALLEY DRUGS, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 446190
Sponsor’s telephone number 2054255258
Plan sponsor’s address 1310 EASTERN VALLEY ROAD, BESSEMER, AL, 35020

Signature of
Role Plan administrator
Date 2015-01-19
Name of individual signing KERRY PRICKETT
Role Employer/plan sponsor
Date 2015-01-19
Name of individual signing KERRY PRICKETT

Agent

Name Role
PRICKETT, CHARLES E Agent

Incorporator

Name Role
PRICKETT, CHARLES E Incorporator
PRICKETT, SHIRLEY B Incorporator

Related by officers

PRICKETT, CHARLES E

American Pharmacy Cooperative, Inc. Eastern Valley Home Health & Equipment, Inc.

Related by address

BESSEMER, AL

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1300 EASTERN VALLEY RDBESSEMER, AL 35020

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Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State

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