| Name: | Albertville Discount Pharmacy, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 01 Jul 1987 (37 years ago) |
| Entity Number: | 000-118-190 |
| Register Number: | 000118190 |
| County: | Marshall |
| Place of Formation: | Marshall County |
| Principal Address: | ALBERTVILLE, AL |
| Registered Office Street Address: | 209 S BROAD STALBERTVILLE, AL 35950 |
| Registered Office Street Address ZIP Code: | 35950 |
| Authorized Capital: | $1,000 |
Activities
PHARMACY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649352253 | 2006-10-20 | 2018-07-05 | 422 N BROAD ST, ALBERTVILLE, AL, 359501761, US | 422 N BROAD ST, ALBERTVILLE, AL, 35950, US | |||||||||||||||||||||||||
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| Phone | +1 256-878-1515 |
| Fax | 2568913155 |
Authorized person
| Name | MR. BRETT B HULGAN |
| Role | AUTHORIZED OFFICAL |
| Phone | 2568781515 |
Taxonomy
| Taxonomy Code | 183500000X - Pharmacist |
| License Number | 7148 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100002200 |
| State | AL |
| Name | Role |
|---|---|
| SPEAR, NORMAN W | Agent |
| Name | Role |
|---|---|
| SPEAR, NORMAN W | Incorporator |
| BISHOP, TIMOTHY N | Incorporator |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
