| Name: | Lemox - Cloverdale Drugs, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 22 Jul 1994 (30 years ago) (Companies founded in July 1994) |
| Date of dissolution: | 24 Sep 2012 |
| Entity Number: | 000-165-593 |
| Register Number: | 000165593 |
| ZIP code: | 35127 (Companies in Jefferson, 35127) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | PLEASANT GROVE, AL |
| Registered Office Street Address: | 1416 7TH PLACEPLEASANT GROVE, AL 35127 |
| Authorized Capital: | $100 |
| Paid Share Capital: | ---- |
Activities
RETAIL PHARMACEUTICAL SALES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497864037 | 2006-08-29 | 2011-01-06 | PO BOX 647, BESSEMER, AL, 350210647, US | 130 9TH ST S, BESSEMER, AL, 350206392, US | |||||||||||||||||||||||||||||
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| Phone | +1 205-428-4146 |
| Fax | 2054282664 |
Authorized person
| Name | ALVIN KEARLEY |
| Role | PRESIDENT |
| Phone | 2054284146 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 106080 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100000475 |
| State | AL |
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 0114835 |
| Name | Role |
|---|---|
| KEARLEY, ALVIN L | Agent |
| Name | Role |
|---|---|
| KEARLEY, ALVIN L | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
