| Name: | Westlake Pharmacy, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 19 Jun 1987 (37 years ago) (Companies founded in June 1987) |
| Date of dissolution: | 21 Dec 2016 |
| Entity Number: | 000-117-999 |
| Register Number: | 000117999 |
| ZIP code: | 35020 (Companies in Jefferson, 35020) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 811-B 8TH STREET NORTHBESSEMER, AL 35020 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
DRUGS
MEDICINES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811039308 | 2007-02-13 | 2010-03-10 | 815 8TH ST N, BESSEMER, AL, 350205303, US | 815 8TH ST N, BESSEMER, AL, 350205303, US | |||||||||||||||||||||||||
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| Phone | +1 205-426-9919 |
| Fax | 2054269980 |
Authorized person
| Name | ALAN BRUCE CONNELL |
| Role | OWNER |
| Phone | 2054269919 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 112809 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100002196 |
| State | AL |
| Name | Role |
|---|---|
| CONNELL, ALAN BRU | Agent |
| Name | Role |
|---|---|
| CONNELL, ALAN BRUCE | Incorporator |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
