| Name: | Wood Family Pharmacy, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 06 Apr 2001 (24 years ago) |
| Date of dissolution: | 29 Jun 2016 |
| Entity Number: | 000-215-885 |
| Register Number: | 000215885 |
| County: | Shelby |
| Place of Formation: | Shelby County |
| Principal Address: | PELHAM, AL |
| Registered Office Street Address: | 2748 U S HIGHWAY 31 SOUTHPELHAM, AL 35124 |
| Registered Office Street Address ZIP Code: | 35124 |
| Authorized Capital: | $10,000 |
| Paid Share Capital: | $1,000 |
Activities
PHARMACY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922163344 | 2006-12-26 | 2010-12-08 | 2748 PELHAM PKWY, PELHAM, AL, 351241702, US | 2748 PELHAM PKWY, PELHAM, AL, 351241702, US | |||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 205-664-0644 |
| Fax | 2056642096 |
Authorized person
| Name | NICK WOOD |
| Role | PRESIDENT |
| Phone | 2056640664 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 111927 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 0130687 |
| Issuer | MEDICAID |
| Number | 100003243 |
| State | AL |
| Name | Role |
|---|---|
| WOOD, NICK | Agent |
| Name | Role |
|---|---|
| WOOD, NICK | Incorporator |
| WOOD, WENDY C | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
