| Name: | PBP Corporation |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 10 Apr 1990 (35 years ago) |
| Date of dissolution: | 10 Dec 2012 |
| Entity Number: | 000-136-483 |
| Register Number: | 000136483 |
| Historical Names: |
Elberta Pharmacy, Incorporated
|
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Principal Address: | ELBERTA, AL |
| Registered Office Street Address: | 24980 STATE STREETELBERTA, AL 36530 |
| Registered Office Street Address ZIP Code: | 36530 |
| Authorized Capital: | $1,000 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790006617 | 2010-06-15 | 2010-10-14 | PO BOX 59, LILLIAN, AL, 365490059, US | 12831 6TH ST, LILLIAN, AL, 365494166, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 251-962-3777 |
| Fax | 2519623779 |
Authorized person
| Name | MR. ROBERT STEPHEN LOVE |
| Role | PRESIDENT |
| Phone | 2519623777 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 112196 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100002878 |
| State | AL |
| Name | Role |
|---|---|
| LOVE, ROBERT STEPHEN | Agent |
| Name | Role |
|---|---|
| LOVE, ROBERT STEPHEN | Incorporator |
| LOVE, DEBORAH K | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2002-01-18 | Name Change | Elberta Pharmacy, Incorporated | PBP Corporation |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
