| Name: | Fairhope Pharmacy, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 30 Jan 1995 (30 years ago) |
| Entity Number: | 000-169-773 |
| Register Number: | 000169773 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Principal Address: | FAIRHOPE, AL |
| Registered Office Street Address: | 398 FAIRHOPE AVEFAIRHOPE, AL 36532 |
| Registered Office Street Address ZIP Code: | 36532 |
| Authorized Capital: | $5,000 |
| Paid Share Capital: | $1,000 |
Activities
DEAL IN ALL ASPECTS OF MEDICAL SUPPLIES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336222959 | 2006-10-24 | 2023-03-07 | PO BOX 512, FAIRHOPE, AL, 36532, US | 398 FAIRHOPE AVE, FAIRHOPE, AL, 36532, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 251-928-8822 |
| Fax | 2519283357 |
Authorized person
| Name | MR. BENJAMIN C BARNHILL |
| Role | PRESIDENT OWNER |
| Phone | 2519288822 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | 103830 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100000153 |
| State | AL |
| Issuer | NABP |
| Number | 0102981 |
| Name | Role |
|---|---|
| BARNHILL, BEN C | Agent |
| Name | Role |
|---|---|
| BARNHILL, BEN C | Incorporator |
| BARNHILL, BETTY R | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
