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Montgomery City Drug, Inc.

Details

Name: Montgomery City Drug, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 26 Nov 1986 (38 years ago) (Companies founded in November 1986)
Date of dissolution: 09 Aug 2012
Entity Number: 000-114-086
Register Number: 000114086
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Montgomery County
Principal Address: MONTGOMERY, AL
Registered Office Street Address: 18 NORTH PERRY STMONTGOMERY, AL 36104
Authorized Capital: $1,000

Activities PHARMACEUTICAL OUTLETS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1477668499 2006-08-20 2011-07-11 11 DEXTER AVE, MONTGOMERY, AL, 361043514, US 11 DEXTER AVE, MONTGOMERY, AL, 361043514, US

Contacts

Phone +1 334-263-6144
Fax 3342639897

Authorized person

Name HAMP RUSSELL
Role PHARMACIST OWNER
Phone 3342636144

Taxonomy

Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number 102415
State AL
Is Primary Yes

Other Provider Identifiers

Issuer NCPDP PROVIDER IDENTIFICATION NUMBER
Number 0137198

Agent

Name Role
BEATTY, BILLY M Agent

Incorporator

Name Role
BEATTY, BILLY M Incorporator

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State