| Name: | Ashley Drug Company of Cullman, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 03 Sep 2003 (21 years ago) |
| Entity Number: | 000-231-127 |
| Register Number: | 000231127 |
| County: | Cullman |
| Place of Formation: | Cullman County |
| Principal Address: | CULLMAN, AL |
| Registered Office Street Address: | 1557 THIRD ST NECULLMAN, AL 35055 |
| Registered Office Street Address ZIP Code: | 35055 |
| Authorized Capital: | 1,000 |
Activities
PHARMACY
| 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 | |||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
| 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 |
| Name | Role |
|---|---|
| ASHLEY, JEFFERY | Agent |
| Name | Role |
|---|---|
| CUASITO, BEVERLY | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
