| Name: | Coburn, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 14 Jun 1993 (31 years ago) |
| Date of dissolution: | 08 Jan 2019 |
| Entity Number: | 000-157-268 |
| Register Number: | 000157268 |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Principal Address: | NORTHPORT, AL |
| Registered Office Street Address: | 2801 LURLEEN WALLACE BLVD #3NORTHPORT, AL 35476 |
| Registered Office Street Address ZIP Code: | 35476 |
| Authorized Capital: | $5,000 |
| Paid Share Capital: | ---- |
Activities
PHARMACY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871638197 | 2007-02-21 | 2011-05-13 | 2801 LURLEEN WALLACE BLVD, NORTHPORT, AL, 35476, US | 2801 LURLEEN WALLACE BLVD, NORTHPORT, AL, 35476, US | |||||||||||||||||||||||||||
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| Phone | +1 205-339-3992 |
| Fax | 2053393306 |
Authorized person
| Name | LUKE COBURN |
| Role | OWNER |
| Phone | 2053393992 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 106762 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | OTHER ID NUMBER-COMMERCIAL NUMBER |
| Number | 0123668 |
| Issuer | OTHER ID NUMBER |
| Number | 0123668 |
| Name | Role |
|---|---|
| COBURN, LUKE D | Agent |
| Name | Role |
|---|---|
| COBURN, LUKE D | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
