| Name: | MED Express Pharmacy Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 04 Apr 2008 (17 years ago) (Companies founded in April 2008) |
| Entity Number: | 000-256-807 |
| Register Number: | 000256807 |
| ZIP code: | 36340 (Companies in Geneva, 36340) |
| County: | Geneva |
| Place of Formation: | Geneva County |
| Principal Address: | GENEVA, AL |
| Registered Office Street Address: | 1541 WEST MAGNOLIA AVEGENEVA, AL 36340 |
| Authorized Capital: | 100 |
Activities
DISPENSE PRESCRIPTION DRUGS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295992543 | 2008-05-22 | 2014-05-02 | PO BOX 69, GENEVA, AL, 363400069, US | 1541 W MAGNOLIA AVE, STE 2, GENEVA, AL, 363401213, US | |||||||||||||||||||||||||||||||||||
|
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| Phone | +1 334-684-7011 |
| Fax | 3346847009 |
Authorized person
| Name | RAY ANDERSON |
| Role | PHCY MANG |
| Phone | 3346847011 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 113103 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000065700 |
| State | FL |
| Issuer | MEDICAID |
| Number | 102190 |
| State | AL |
| Issuer | PK |
| Number | 1996301 |
| Name | Role |
|---|---|
| ANDERSON, RAY GENE | Agent |
| Name | Role |
|---|---|
| ANDERSON, RAY GENE | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
