| Name: | Boatnerwerks, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 05 Jan 1998 (27 years ago) (Companies founded in January 1998) |
| Date of dissolution: | 08 Sep 2016 |
| Entity Number: | 000-192-758 |
| Register Number: | 000192758 |
| ZIP code: | 36107 (Companies in Montgomery, 36107) |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | 1751 UPPER WETUMPKA RDMONTGOMERY, AL 36107 |
| Registered Office Street Address: | 2200 MADISON AVEMONTGOMERY, AL 36107 |
| Authorized Capital: | $100 |
Activities
RETAIL SALES OF PHARMACEUTICALS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184736134 | 2006-08-31 | 2008-07-30 | PO BOX 70369, MONTGOMERY, AL, 361070369, US | 1751 UPPER WETUMPKA ROAD, MONTGOMERY, AL, 36107, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 334-264-1110 |
| Fax | 3342641062 |
Authorized person
| Name | MR. ROBERT LEWIS BOATNER |
| Role | OWNER |
| Phone | 3342641110 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 19933 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100002719 |
| State | AL |
| Issuer | NABP / NCPDP |
| Number | 0126056 |
| State | AL |
| Name | Role |
|---|---|
| BOATNER, ROBERT L | Incorporator |
| Name | Role |
|---|---|
| BOATNER, ROBERT L | Agent |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
