| Name: | Propst Discount Drugs, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 16 Sep 2003 (21 years ago) |
| Entity Number: | 000-231-071 |
| Register Number: | 000231071 |
| Historical Names: |
Pratt Ave. Pharmacy, Inc.
|
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | HUNTSVILLE, AL |
| Registered Office Street Address: | 704 PRATT AVE NEHUNTSVILLE, AL 35801 |
| Registered Office Street Address ZIP Code: | 35801 |
| Authorized Capital: | 100 |
Activities
OPERATE A PHARMACY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417148164 | 2007-08-07 | 2022-03-14 | 414 GOVERNORS DR SW, HUNTSVILLE, AL, 358015124, US | 414 GOVERNORS DR SW, HUNTSVILLE, AL, 358015124, US | |||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 256-535-0997 |
Authorized person
| Name | MR. DARDEN HERITAGE |
| Role | PRESIDENT |
| Phone | 2565341118 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 000540 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
| License Number | 000540 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 000540 |
| State | AL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009912214 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| HERITAGE, DARDEN | Agent | 102 FALLS BRIDGE COURTHUNTSVILLE, AL 35811 |
| Name | Role | Address |
|---|---|---|
| HERITAGE, DARDEN | Incorporator | 102 FALLS BRIDGE COURTHUNTSVILLE, AL 35811 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2003-10-01 | Name Change | Pratt Ave. Pharmacy, Inc. | Propst Discount Drugs, Inc. |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
