| Name: | Beasley Pharmacy, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 20 Mar 1996 (29 years ago) |
| Entity Number: | 000-178-495 |
| Register Number: | 000178495 |
| County: | Houston |
| Place of Formation: | Houston County |
| Principal Address: | COLUMBIA, AL |
| Registered Office Street Address: | 117 EAST CHURCH STCOLUMBIA, AL 36319 |
| Registered Office Street Address ZIP Code: | 36319 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | ---- |
Activities
MEDICINES/HOSPITAL SUPPLIES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083711477 | 2006-09-20 | 2021-09-30 | PO BOX 614, COLUMBIA, AL, 363190614, US | 111 E CHURCH ST, COLUMBIA, AL, 363190614, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 334-696-4611 |
| Fax | 3346964669 |
Authorized person
| Name | BREANNA NORTH |
| Role | SUPERVISING PHARM |
| Phone | 3346964611 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 110551 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 1988611 |
| Issuer | MEDICAID |
| Number | 100039160 |
| State | AL |
| Name | Role |
|---|---|
| BEASLEY, SIDNEY T | Incorporator |
| BEASLEY, JANE ELLEN | Incorporator |
| Name | Role |
|---|---|
| NORTH, BREANNA | Agent |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
