| Name: | Town & Country Pharmacy, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 31 Jul 1996 (28 years ago) (Companies founded in July 1996) |
| Date of dissolution: | 09 Jul 2024 |
| Entity Number: | 000-181-343 |
| Register Number: | 000181343 |
| Place of Formation: | Lauderdale County |
| Registered Office Street Address: | 22747 ALABAMA HWY 24 STE 20MOULTON, AL |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
MANUFACTURE/SELL MEDICINES/DRUGS/SURGICAL SUPPLIES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578677563 | 2006-08-18 | 2012-01-12 | 22747 HWY 24 STE D, MOULTON, AL, 35650, US | 22747 HWY 24 STE D, MOULTON, AL, 35650, US | |||||||||||||||||||||||||||||
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| Phone | +1 256-905-0078 |
| Fax | 2569050049 |
Authorized person
| Name | CHARLES JOINER |
| Role | OWNER, SUPERVISING PHARMACIST |
| Phone | 2569050078 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 110780 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100002843 |
| State | AL |
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 0127096 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TOWN & COUNTRY PHARMACY, INC. 401K PLAN | 2009 | 221548193 | 2010-08-02 | TOWN & COUNTRY PHARMACY | 33 | |||||||||||||||||||||||||||||
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| Administrator’s EIN | 221548193 |
| Plan administrator’s name | TOWN & COUNTRY PHARMACY |
| Plan administrator’s address | 60 EAST RIDGEWOOD AVENUE, RIDGEWOOD, AL, 07450 |
| Administrator’s telephone number | 2016520013 |
Signature of
| Role | Plan administrator |
| Date | 2010-08-02 |
| Name of individual signing | JOHN HERR |
| Name | Role |
|---|---|
| JOINER, CHARLES D JR | Agent |
| Name | Role |
|---|---|
| JOINER, CHARLES D JR | Incorporator |
| JOINER, KRISTINA G | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
