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Crow Drug, Inc.

Details

Name: Crow Drug, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 07 Nov 1988 (36 years ago) (Companies founded in November 1988)
Entity Number: 000-127-189
Register Number: 000127189
Historical Names: Jimosa Corporation, Inc.
ZIP code: 36265 (Companies in Calhoun, 36265)
County: Calhoun
Place of Formation: Calhoun County
Principal Address: JACKSONVILLE, AL
Registered Office Street Address: 1104 11TH ST NEJACKSONVILLE, AL 36265
Authorized Capital: $10,000

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336108554 2006-03-18 2024-06-14 1430 PELHAM RD S, JACKSONVILLE, AL, 362653034, US 7 PUBLIC SQ E, JACKSONVILLE, AL, 362652572, US

Contacts

Phone +1 256-435-7931
Fax 2564359007

Authorized person

Name JAMES COLVIN
Role OWNER/PRESIDENT/PIC/AO
Phone 2564357931

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary No
Taxonomy Code 333600000X - Pharmacy
Is Primary No
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number 112168
State AL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 100039118
State AL
Issuer PK
Number 1988756

Agent

Name Role Address
COLVIN, JAMES L JR Agent 1104 11TH STREET NWJACKSONVILLE, AL 36265

Incorporator

Name Role
WILLIS, JAMES H JR Incorporator

Events

Event Date Event Type Old Value New Value
2003-02-05 Name Change Jimosa Corporation, Inc. Crow Drug, Inc.

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State