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Bryan Pharmacy, Inc.

Details

Name: Bryan Pharmacy, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 14 Oct 2004 (20 years ago) (Companies founded in October 2004)
Entity Number: 000-237-880
Register Number: 000237880
ZIP code: 36330 (Companies in Coffee, 36330)
County: Coffee
Place of Formation: Coffee County
Principal Address: ENTERPRISE, AL
Registered Office Street Address: 804 GLOVER AVEENTERPRISE, AL 36330
Authorized Capital: $100
Paid Share Capital: $100

Activities OWN/OPERATE A RETAIL PHARMACY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1104273002 2016-05-20 2016-08-02 6580 BOLL WEEVIL CIRCLE, ENTERPRISE, AL, 36330, US 6580 BOLL WEEVIL CIR, ENTERPRISE, AL, 363309424, US

Contacts
Phone +1 334-417-4111
Fax 3344174111
Fax 3344174114

Authorized person
Name HUBERT BRYAN
Role OWNER
Phone 3343475111

Taxonomy
Taxonomy Code 333600000X - Pharmacy
Is Primary No
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number 114626
State AL
Is Primary Yes

Other Provider Identifiers
Issuer PK
Number 2160202

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BRYAN PHARMACY 401(K) PLAN 2023 201693312 2024-06-06 BRYAN PHARMACY, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 446110
Sponsor’s telephone number 3343475111
Plan sponsor’s address 736 GLOVER AVENUE, ENTERPRISE, AL, 36330

Signature of
Role Plan administrator
Date 2024-06-06
Name of individual signing HUBERT BRYAN
BRYAN PHARMACY 401(K) PLAN 2022 201693312 2023-06-29 BRYAN PHARMACY, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 446110
Sponsor’s telephone number 3343475111
Plan sponsor’s address 736 GOVER AVE, ENTERPRISE, AL, 36330

Signature of
Role Plan administrator
Date 2023-06-29
Name of individual signing HUBERT BRYAN
BRYAN PHARMACY 401(K) PLAN 2021 201693312 2022-08-24 BRYAN PHARMACY, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 446110
Sponsor’s telephone number 3343475111
Plan sponsor’s address 736 GOVER AVE, ENTERPRISE, AL, 36330

Signature of
Role Plan administrator
Date 2022-08-24
Name of individual signing HUBERT BRYAN
BRYAN PHARMACY (WELFARE PLAN) 2021 201693312 2022-07-29 BRYAN PHARMACY 17
File View Page
Three-digit plan number (PN) 951
Effective date of plan 2020-10-01
Business code 446110
Sponsor’s telephone number 8669665457
Plan sponsor’s address 736 GLOVER AVENUE, ENTERPRISE, AL, 36330

Plan administrator’s name and address
Administrator’s EIN 472506773
Plan administrator’s name KENNION & CO, LLC
Plan administrator’s address 2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243
Administrator’s telephone number 8669665457

Signature of
Role Plan administrator
Date 2022-07-21
Name of individual signing W. HAL SHEPHERD
Role Employer/plan sponsor
Date 2022-07-21
Name of individual signing W. HAL SHEPHERD
BRYAN PHARMACY 401(K) PLAN 2020 201693312 2021-10-05 BRYAN PHARMACY, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 446110
Sponsor’s telephone number 3343475111
Plan sponsor’s address 736 GOVER AVE, ENTERPRISE, AL, 36330

Signature of
Role Plan administrator
Date 2021-10-05
Name of individual signing HUBERT BRYAN
BRYAN PHARMACY (WELFARE PLAN) 2020 201693312 2021-07-31 BRYAN PHARMACY 0
File View Page
Three-digit plan number (PN) 951
Effective date of plan 2020-10-01
Business code 446110
Sponsor’s telephone number 8669665457
Plan sponsor’s address 736 GLOVER AVENUE, ENTERPRISE, AL, 36330

Plan administrator’s name and address
Administrator’s EIN 472506773
Plan administrator’s name KENNION & CO, LLC
Plan administrator’s address 2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243
Administrator’s telephone number 8669665457

Signature of
Role Plan administrator
Date 2021-07-30
Name of individual signing W. HAL SHEPHERD
Role Employer/plan sponsor
Date 2021-07-30
Name of individual signing W. HAL SHEPHERD
BRYAN PHARMACY 401(K) PLAN 2019 201693312 2020-10-07 BRYAN PHARMACY, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 446110
Sponsor’s telephone number 3343475111
Plan sponsor’s address 736 GOVER AVE, ENTERPRISE, AL, 36330

Signature of
Role Plan administrator
Date 2020-10-07
Name of individual signing HUBERT BRYAN
BRYAN PHARMACY 401(K) PLAN 2018 201693312 2019-10-15 BRYAN PHARMACY, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 446110
Sponsor’s telephone number 3343475111
Plan sponsor’s address 736 GOVER AVE, ENTERPRISE, AL, 36330

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing HUBERT BRYAN

Agent

Name Role
BRYAN, HUBERT RAY JR Agent

Incorporator

Name Role
BRYAN, HUBERT RAY JR Incorporator

Related by officers

No related officers

Related by address

ENTERPRISE, AL

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Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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