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Ashley Drug Company of Cullman, Inc.

Details

Name: Ashley Drug Company of Cullman, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 03 Sep 2003 (21 years ago) (Companies founded in September 2003)
Entity Number: 000-231-127
Register Number: 000231127
ZIP code: 35055 (Companies in Cullman, 35055)
County: Cullman
Place of Formation: Cullman County
Principal Address: CULLMAN, AL
Registered Office Street Address: 1557 THIRD ST NECULLMAN, AL 35055
Authorized Capital: 1,000

Activities PHARMACY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407842065 2005-09-20 2018-07-19 1557 3RD ST NE, CULLMAN, AL, 350552053, US 1557 3RD ST NE, CULLMAN, AL, 350552053, US

Contacts

Phone +1 256-734-2325
Fax 2567342320

Authorized person

Name JEFFERY ASHLEY
Role OWNER
Phone 2567342325

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 112395
State AL
Is Primary Yes

Other Provider Identifiers

Issuer PK
Number 1990095
Issuer MEDICAID
Number 100003520
State AL

Agent

Name Role
ASHLEY, JEFFERY Agent

Incorporator

Name Role
CUASITO, BEVERLY Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State