| Name: | Reagan Pharmacy, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 18 Jul 1995 (29 years ago) (Companies founded in July 1995) |
| Entity Number: | 000-173-162 |
| Register Number: | 000173162 |
| ZIP code: | 36344 (Companies in Geneva, 36344) |
| County: | Geneva |
| Place of Formation: | Geneva County |
| Principal Address: | HARTFORD, AL |
| Registered Office Street Address: | 111 WEST MILL STHARTFORD, AL 36344 |
| Authorized Capital: | 1,000 |
| Paid Share Capital: | ---- |
Activities
RETAIL PHARMACY BUSINESS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326098294 | 2006-05-11 | 2023-03-07 | 111 W MILL ST, HARTFORD, AL, 363441647, US | 111 W MILL ST, HARTFORD, AL, 363441647, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 334-588-3109 |
| Fax | 3345880669 |
Authorized person
| Name | MR. DONALD O'NEAL HAGLER |
| Role | OWNER/PHARMACIST |
| Phone | 3345883109 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 108320 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NABP |
| Number | 0107412 |
| State | AL |
| Issuer | MEDICAID |
| Number | 100000556 |
| State | AL |
| Name | Role |
|---|---|
| HAGLER, DONALD O | Agent |
| Name | Role |
|---|---|
| HAGLER, DONALD O | Incorporator |
| HAGLER, PAMELA C | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
