Name: | Killen Drugs, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 07 Nov 2001 (23 years ago) |
Entity Number: | 000-219-625 |
Register Number: | 000219625 |
County: | Lauderdale |
Place of Formation: | Lauderdale County |
Registered Office Street Address: | 1621 HIGHWAY 72KILLEN, AL 35645 |
Registered Office Street Address ZIP Code: | 35645 |
Registered Office Mailing Address: | PO BOX 99KILLEN, AL 35645 |
Registered Office Mailing Address ZIP Code: | 35645 |
Authorized Capital: | $10 |
Activities
ANY LAWFUL ACTIVITY
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1104831734 | 2006-07-30 | 2008-06-19 | PO BOX 57, KILLEN, AL, 356450057, US | 1621 HIGHWAY 72, KILLEN, AL, 356459142, US | |||||||||||||||||||||||||||||
|
Phone | +1 256-757-2166 |
Fax | 2567579580 |
Authorized person
Name | JULIUS SPRY |
Role | PRES |
Phone | 2567572166 |
Taxonomy
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
License Number | 105810 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | OTHER ID NUMBER-COMMERCIAL NUMBER |
Number | 0107854 |
Issuer | MEDICAID |
Number | 100000822 |
State | AL |
Name | Role |
---|---|
SPRY, JULIUS H JR | Agent |
Name | Role | Address |
---|---|---|
PITTS, CONRAD C | Incorporator | 401 EAST TUSCALOOSA STFLORENCE, AL 35630 |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State