| Name: | Helton Drive Pharmacy, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 20 Jun 1995 (29 years ago) |
| Date of dissolution: | 25 Apr 2022 |
| Entity Number: | 000-172-690 |
| Register Number: | 000172690 |
| County: | Lauderdale |
| Place of Formation: | Lauderdale County |
| Principal Address: | FLORENCE, AL |
| Registered Office Street Address: | 2113 ARLINGTON BLVDFLORENCE, AL 35630 |
| Registered Office Street Address ZIP Code: | 35630 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
OPERATE A DRUG STORE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093809972 | 2006-10-03 | 2017-03-16 | 2401 HELTON DR, FLORENCE, AL, 356301024, US | 2401 HELTON DR, FLORENCE, AL, 356301024, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 256-766-7170 |
| Fax | 2567660320 |
Authorized person
| Name | TIMOTHY MCALPIN |
| Role | OWNER PHARMACIST |
| Phone | 2567667170 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 111016 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100002732 |
| State | AL |
| Issuer | PK |
| Number | 1990909 |
| Name | Role |
|---|---|
| MCALPIN, TIMOTHY C | Incorporator |
| MCALPIN, DONNA M | Incorporator |
| Name | Role |
|---|---|
| MCALPIN, TIMOTHY C | Agent |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
