| Name: | Beaty Drug Company, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 09 Feb 2005 (20 years ago) |
| Entity Number: | 000-239-727 |
| Register Number: | 000239727 |
| County: | Walker |
| Place of Formation: | Walker County |
| Principal Address: | CORDOVA, AL |
| Registered Office Street Address: | 1400 RIVER'S EDGE TRAILCORDOVA, AL 35550 |
| Registered Office Street Address ZIP Code: | 35550 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
MANAGING PHARMACY/REAL ESTATE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902074925 | 2008-02-12 | 2011-11-08 | 5558 CURRY HWY, STE 9, JASPER, AL, 355035845, US | 5558 CURRY HWY, STE 9, JASPER, AL, 355035845, US | |||||||||||||||||||||||||||
|
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| Phone | +1 205-221-6330 |
| Fax | 2052216332 |
Authorized person
| Name | SHANNON BEATY |
| Role | OWNER |
| Phone | 2052216330 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 113049 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 0135118 |
| Name | Role |
|---|---|
| BEATY, DUSTIN J | Incorporator |
| Name | Role |
|---|---|
| BEATY, DUSTIN J | Agent |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
