| Name: | The Medicine Chest Wellness Center, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 01 Feb 1999 (26 years ago) (Companies founded in February 1999) |
| Date of dissolution: | 30 Sep 2016 |
| Entity Number: | 000-200-624 |
| Register Number: | 000200624 |
| ZIP code: | 35007 (Companies in Shelby, 35007) |
| County: | Shelby |
| Place of Formation: | Shelby County |
| Principal Address: | ALABASTER, AL |
| Registered Office Street Address: | 514 1ST ST NALABASTER, AL 35007 |
| Authorized Capital: | $5,000 |
Activities
MANUFACTURE/SELL/PURCHASE DRUGS/MEDICINES/CHEMICALS/SUPPLIES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619045382 | 2006-12-01 | 2012-05-24 | 514 FIRST STREET NORTH, ALABASTER, AL, 35007, US | 514 FIRST STREET NORTH, ALABASTER, AL, 35007, US | |||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
| Phone | +1 205-621-2310 |
| Fax | 2056212318 |
Authorized person
| Name | MR. LARRY WAYNE OWNES |
| Role | RPH OWNER |
| Phone | 2056212310 |
Taxonomy
| Taxonomy Code | 183500000X - Pharmacist |
| License Number | 22271 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 1000063063 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP |
| Number | 0129103 |
| Issuer | MEDICAID |
| Number | 100003063 |
| State | AL |
| Name | Role |
|---|---|
| OWENS, LARRY W | Agent |
| Name | Role |
|---|---|
| OWENS, LARRY W | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
