| Name: | Edmondson Drug Co., Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 16 Jul 2003 (21 years ago) |
| Entity Number: | 000-230-025 |
| Register Number: | 000230025 |
| County: | Cullman |
| Place of Formation: | Cullman County |
| Principal Address: | VINEMONT, AL |
| Registered Office Street Address: | 150 CO RD 1417VINEMONT, AL 35179 |
| Registered Office Street Address ZIP Code: | 35179 |
| Authorized Capital: | $1,000 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215979885 | 2006-06-11 | 2015-08-19 | PO BOX 789, CULLMAN, AL, 350560789, US | 445 AL HIGHWAY 69 S STE D, HANCEVILLE, AL, 350773437, US | |||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
| Phone | +1 256-287-9099 |
| Fax | 2562872817 |
Authorized person
| Name | CHARLOTTE EDMONDSON |
| Role | OWNER AND PHARMACIST |
| Phone | 2562879099 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 111500 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100003509 |
| State | AL |
| Issuer | PK |
| Number | 1995236 |
| Name | Role |
|---|---|
| EDMONDSON, CHARLOTTE | Agent |
| Name | Role |
|---|---|
| EDMONDSON, SCOTT | Incorporator |
| EDMONDSON, CHARLOTTE | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
