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Murphy's Pharmacy, Inc.

Details

Name: Murphy's Pharmacy, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 18 Jan 2001 (24 years ago)
Date of dissolution: 28 Dec 2011
Entity Number: 000-214-207
Register Number: 000214207
County: Cullman
Place of Formation: Lawrence County
Principal Address: HOLLY POND, AL
Registered Office Street Address: 11069 US HWY 278HOLLY POND, AL 35083
Registered Office Street Address ZIP Code: 35083
Authorized Capital: $1,000
Paid Share Capital: $100

Activities INDEPENDENT RETAIL PHARMACY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1518022250 2006-12-22 2011-11-22 PO BOX 427, HOLLY POND, AL, 350830427, US 11069 US HWY 278 E, HOLLY POND, AL, 350830427, US

Contacts

Phone +1 256-796-4449
Fax 2567960599

Authorized person

Name CHARLES ALLEN MURPHY
Role PRESIDENT
Phone 2567964449

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
License Number 111926
State AL
Is Primary No
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number 111926
State AL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 100003242
State AL

Agent

Name Role
MURPHY, CHARLES ALLEN Agent

Incorporator

Name Role
MURPHY, CHARLES ALLEN Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State