| Name: | Brewis Pharmacy, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 17 Dec 1996 (28 years ago) (Companies founded in December 1996) |
| Date of dissolution: | 18 Oct 2010 |
| Entity Number: | 000-184-093 |
| Register Number: | 000184093 |
| ZIP code: | 35214 (Companies in Jefferson, 35214) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 1548 FORESTDALE BLVDBIRMINGHAM, AL 35214 |
| Authorized Capital: | $100 |
| Paid Share Capital: | $100 |
Activities
RETAIL PHARMACEUTICAL SUPPLIES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831258219 | 2006-12-08 | 2020-08-22 | 1548 FORESTDALE BLVD, BIRMINGHAM, AL, 35214, US | 1548 FORESTDALE BLVD, BIRMINGHAM, AL, 35214, US | |||||||||||||||||||||||||||||
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| Phone | +1 205-798-2740 |
| Fax | 2057910025 |
Authorized person
| Name | MR. LYNDELL RAY BREWIS |
| Role | PRESIDENT |
| Phone | 2057982740 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 110986 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | ALA STATE BD OF PHARM |
| Number | 110986 |
| State | AL |
| Issuer | NABP |
| Number | 0104620 |
| Name | Role |
|---|---|
| BREWIS, LYNDELL R | Agent |
| Name | Role |
|---|---|
| BREWIS, LYNDELL R | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
