Name: | Douglas Discount Pharmacy, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 30 Jan 1996 (29 years ago) |
Entity Number: | 000-177-335 |
Register Number: | 000177335 |
County: | Marshall |
Place of Formation: | Marshall County |
Principal Address: | DOUGLAS, AL |
Registered Office Street Address: | 9137 HIGHWAY 75 SOUTHDOUGLAS, AL 35980 |
Registered Office Street Address ZIP Code: | 35980 |
Authorized Capital: | $1,000 |
Paid Share Capital: | ---- |
Activities
RETAIL DRUG STORE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1093885097 | 2006-11-08 | 2020-12-16 | PO BOX 28, DOUGLAS, AL, 35964, US | 9461 AL HIGHWAY 75 STE A, HORTON, AL, 359808399, US | |||||||||||||||||||||
|
Phone | +1 256-593-1750 |
Fax | 2565931711 |
Authorized person
Name | MR. JIMMY BRUCE GANN JR. |
Role | PHARMACIST |
Phone | 2565931750 |
Taxonomy
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 100002809 |
State | AL |
Name | Role |
---|---|
GANN, JIMMY B JR | Agent |
Name | Role |
---|---|
SPEAR, NORMAN W | Incorporator |
SPEAR, SHERRIE T | Incorporator |
GANN, JIMMY B JR | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State