| Name: | Tri-State Pharmaceutical Services, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 27 Jul 1998 (26 years ago) |
| Entity Number: | 000-196-953 |
| Register Number: | 000196953 |
| County: | Houston |
| Place of Formation: | Houston County |
| Principal Address: | DOTHAN, AL |
| Registered Office Street Address: | 479 FORRESTER STDOTHAN, AL 36301 |
| Registered Office Street Address ZIP Code: | 36301 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
RETAIL SALES OF PHARMACEUTICAL/RELATED ITEMS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750425823 | 2007-02-20 | 2008-05-15 | 4119 W MAIN ST, DOTHAN, AL, 363051023, US | 4119 W MAIN ST, DOTHAN, AL, 363051023, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 334-793-1316 |
Authorized person
| Name | MICHAEL E STRINGER |
| Role | V PRES |
| Phone | 3347931316 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 111313 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PART B MEDICARE CMS |
| Number | 051555957TRI |
| State | AL |
| Issuer | MEDICAID |
| Number | 009901020 |
| State | AL |
| Issuer | BCBS DME |
| Number | 510-78473TRI |
| State | AL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DOCTORS CENTER PHARMACY 401(K) PLAN | 2023 | 631204626 | 2024-05-21 | TRI-STATE PHARMACEUTICAL SERVICES, INC. | 15 | |||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-05-21 |
| Name of individual signing | MICHAEL STRINGER |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 325410 |
| Sponsor’s telephone number | 3347931316 |
| Plan sponsor’s DBA name | DOCTORS CENTER PHARMACY |
| Plan sponsor’s address | 4119 W MAIN STREET, DOTHAN, AL, 36305 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-30 |
| Name of individual signing | MICHAEL STRINGER |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 325410 |
| Sponsor’s telephone number | 3347931316 |
| Plan sponsor’s DBA name | DOCTORS CENTER PHARMACY |
| Plan sponsor’s address | 4119 W MAIN STREET, DOTHAN, AL, 36305 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-20 |
| Name of individual signing | MICHAEL STRINGER |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 325410 |
| Sponsor’s telephone number | 3347931316 |
| Plan sponsor’s DBA name | DOCTORS CENTER PHARMACY |
| Plan sponsor’s address | 4119 W MAIN ST, DOTHAN, AL, 36305 |
Signature of
| Role | Plan administrator |
| Date | 2021-09-24 |
| Name of individual signing | MICHAEL STRINGER |
| Name | Role |
|---|---|
| SCOTT, J LENDON | Agent |
| Name | Role |
|---|---|
| SCOTT, J LENDON | Incorporator |
| STRINGER, MICHAEL | Incorporator |
| MCLEOD, NICOLE S | Incorporator |
| SCOTT, JAMES L JR | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
