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Douglas Discount Pharmacy, Inc.

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role
GANN, JIMMY B JR Agent

Incorporator

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