| Name: | The Diabetic Shoppe, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 30 Oct 2007 (17 years ago) |
| Date of dissolution: | 07 Jan 2015 |
| Entity Number: | 000-254-916 |
| Register Number: | 000254916 |
| County: | Dallas |
| Place of Formation: | Dallas County |
| Principal Address: | SELMA, AL |
| Registered Office Street Address: | 909 B HIGHLAND AVESELMA, AL 36701 |
| Registered Office Street Address ZIP Code: | 36701 |
| Authorized Capital: | 100 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952580755 | 2007-10-29 | 2008-05-06 | 909 HIGHLAND AVE STE B, SELMA, AL, 367014965, US | 909 HIGHLAND AVE STE B, SELMA, AL, 367014965, US | |||||||||||||||||||
|
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| Phone | +1 334-872-0150 |
Authorized person
| Name | ANGELA RUSHING |
| Role | PRESIDENT |
| Phone | 3348720150 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009914109 |
| State | AL |
| Name | Role |
|---|---|
| RUSHING, ANGELA | Agent |
| Name | Role |
|---|---|
| RUSHING, ANGELA | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
