| Name: | Mills Pharmacy at Bluff Park, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 29 Apr 2002 (23 years ago) (Companies founded in April 2002) |
| Entity Number: | 000-222-759 |
| Register Number: | 000222759 |
| Historical Names: |
Robert's Discount Pharmacy, Inc.
|
| ZIP code: | 35226 (Companies in Jefferson, 35226) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 2400 MTN DRIVE STE 104HOOVER, AL 35226 |
| Registered Office Mailing Address: | PO BOX 26679BIRMINGHAM, AL 35260 |
| Authorized Capital: | $25,000 |
Activities
SELL HEALTH CARE/PHARMACEUTICAL PRODUCTS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629166830 | 2006-10-11 | 2022-02-18 | PO BOX 26679, BIRMINGHAM, AL, 352600679, US | 2148 TYLER RD, STE 100, HOOVER, AL, 352261513, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 205-871-9007 |
| Fax | 2058749946 |
| Phone | +1 205-823-9500 |
| Fax | 2058230097 |
Authorized person
| Name | JOSH HARDIN |
| Role | OWNER |
| Phone | 2054270955 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 112103 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100003300 |
| State | AL |
| Issuer | PK |
| Number | 1995031 |
| Name | Role | Address |
|---|---|---|
| LONG, BEETINA | Agent | 2087 BANEBERRY DRHOOVER, AL 35244 |
| Name | Role | Address |
|---|---|---|
| SPROULE, WILLIAM P | Incorporator | 705 PLEASANT GROVE ROAD STE 110PLEASANT GROVE, AL 35127 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2016-01-15 | Name Change | Robert's Discount Pharmacy, Inc. | Mills Pharmacy at Bluff Park, Inc. |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
