| Name: | Sylvania Pharmacy, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 13 Apr 2006 (19 years ago) (Companies founded in April 2006) |
| Date of dissolution: | 29 Jun 2012 |
| Entity Number: | 000-246-741 |
| Register Number: | 000246741 |
| ZIP code: | 35988 (Companies in De Kalb, 35988) |
| County: | De Kalb |
| Place of Formation: | DeKalb County |
| Principal Address: | SYLVANIA, AL |
| Registered Office Street Address: | 14 INDUSTRIAL LANESYLVANIA, AL 35988 |
| Authorized Capital: | $1,000 |
Activities
PRESCRIPTION DRUG PHARMACY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023029691 | 2006-08-10 | 2010-03-16 | PO BOX 285, SYLVANIA, AL, 359880285, US | 14 INDUSTRIAL DR., SYLVANIA, AL, 359882273, US | |||||||||||||||||||||||
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| Phone | +1 256-638-6070 |
| Fax | 2566386075 |
Authorized person
| Name | DONNA HILL |
| Role | OWNER |
| Phone | 2566386070 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 112831 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 0133986 |
| Name | Role |
|---|---|
| HILL, DONNA | Agent |
| Name | Role |
|---|---|
| HILL, DONNA | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
