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C & S Pharmacy, Inc.

Details

Name: C & S Pharmacy, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 24 Aug 2005 (19 years ago) (Companies founded in August 2005)
Date of dissolution: 04 Jan 2023
Entity Number: 000-243-061
Register Number: 000243061
ZIP code: 35768 (Companies in Jackson, 35768)
County: Jackson
Place of Formation: Jackson County
Principal Address: SCOTTSBORO, AL
Registered Office Street Address: 106 PARKS AVESCOTTSBORO, AL 35768
Authorized Capital: $1,000
Paid Share Capital: $1,000

Activities RETAIL PHARMACY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093735920 2006-07-21 2020-08-22 21549 AL HIGHWAY 79, SCOTTSBORO, AL, 357685917, US 21549 AL HIGHWAY 79, SCOTTSBORO, AL, 357685917, US

Contacts

Phone +1 256-587-3332
Fax 2565873352

Authorized person

Name MR. DEXTER ERWIN CORDES
Role PRESIDENT/RPH
Phone 2565873332

Taxonomy

Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number 112699
State AL
Is Primary Yes

Other Provider Identifiers

Issuer NCPDP
Number 0133330

Agent

Name Role
CORDES, DEXTER Agent

Incorporator

Name Role
CORDES, DEXTER Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State