| Name: | Central Heights Pharmacy, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 07 Jan 1999 (26 years ago) (Companies founded in January 1999) |
| Entity Number: | 000-199-897 |
| Register Number: | 000199897 |
| ZIP code: | 35630 (Companies in Lauderdale, 35630) |
| County: | Lauderdale |
| Place of Formation: | Lauderdale County |
| Registered Office Street Address: | 369 CEDAR BEND DRIVEFLORENCE, AL 35630 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
OPERATION OF A PHARMACY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730257536 | 2006-12-01 | 2015-03-17 | 11350 HIGHWAY 20, FLORENCE, AL, 356332702, US | 11350 HIGHWAY 20, FLORENCE, AL, 356332702, US | |||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 256-766-4200 |
| Fax | 2567669566 |
Authorized person
| Name | PATTI THOMPSON |
| Role | OWNER |
| Phone | 2567664200 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 111575 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009935310 |
| State | AL |
| Issuer | PK |
| Number | 1992713 |
| Name | Role |
|---|---|
| THOMPSON, PATTI | Agent |
| Name | Role |
|---|---|
| MORROW, ROBERT | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
