| Name: | The Medical Store, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 09 Nov 1989 (35 years ago) (Companies founded in November 1989) |
| Date of dissolution: | 18 Oct 2022 |
| Entity Number: | 000-133-810 |
| Register Number: | 000133810 |
| ZIP code: | 36545 (Companies in Clarke, 36545) |
| County: | Clarke |
| Place of Formation: | Clarke County |
| Principal Address: | JACKSON, AL |
| Registered Office Street Address: | 1501 MCKEE DRIVEJACKSON, AL 36545 |
| Authorized Capital: | $10,000 |
| Paid Share Capital: | $1,000 |
Activities
MEDICAL SUPPLIES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043230816 | 2006-07-21 | 2020-11-12 | 1201 COLLEGE AVE STE B, JACKSON, AL, 365452406, US | 1201 COLLEGE AVE STE B, JACKSON, AL, 365452406, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 251-246-0444 |
| Fax | 2512467544 |
| Fax | 2512467754 |
Authorized person
| Name | ROBBIN A MCKEE |
| Role | OWNER/CEO |
| Phone | 2517696414 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000056488 |
| State | AL |
| Issuer | BCBS PROV # |
| Number | 51056488 |
| State | AL |
| Issuer | MEDICAID |
| Number | 0040362 |
| State | MS |
| Name | Role |
|---|---|
| MCKEE, MELISSA J | Agent |
| Name | Role |
|---|---|
| MCKEE, MELISSA J | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
