| Name: | Main Drug, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 24 Oct 1984 (40 years ago) (Companies founded in October 1984) |
| Entity Number: | 000-100-816 |
| Register Number: | 000100816 |
| ZIP code: | 36089 (Companies in Bullock, 36089) |
| County: | Bullock |
| Place of Formation: | Bullock County |
| Principal Address: | UNION SPRINGS, AL |
| Registered Office Street Address: | 302 NORTH PRAIRIE STREETUNION SPRINGS, AL 36089 |
| Authorized Capital: | $9,000 |
Activities
DRUG STORE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659369825 | 2005-10-11 | 2008-02-04 | PO BOX 432, UNION SPRINGS, AL, 360890432, US | 302 PRAIRIE ST N, UNION SPRINGS, AL, 360891417, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 334-738-2020 |
| Fax | 3347388050 |
Authorized person
| Name | THOMAS MAIN |
| Role | PHARMACY MANAGER |
| Phone | 3347382020 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 106460 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100000731 |
| State | AL |
| Issuer | OTHER ID NUMBER |
| Number | 0110332 |
| Name | Role | Address |
|---|---|---|
| MAIN, BENJAMIN G | Agent | 309 HILL N DALE DRIVEUNION SPRINGS, AL 36089 |
| Name | Role | Address |
|---|---|---|
| MAIN, GORDON A | Incorporator | No data |
| MAIN, BENJAMIN G | Incorporator | 309 HILL N DALE DRIVEUNION SPRINGS, AL 36089 |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
