| Name: | SheaRue, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 14 Jul 2008 (16 years ago) |
| Entity Number: | 000-258-066 |
| Register Number: | 000258066 |
| County: | Blount |
| Place of Formation: | Blount County |
| Principal Address: | LOCUST FORK, AL |
| Registered Office Street Address: | 29984 STATE HWY 79 STE 200LOCUST FORK, AL 35097 |
| Registered Office Street Address ZIP Code: | 35097 |
| Authorized Capital: | $1,000 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295758340 | 2006-07-26 | 2009-03-23 | PO BOX 207, CLEVELAND, AL, 35049, US | 36321 STATE HWY 79, SUITE 2, CLEVELAND, AL, 35049, US | |||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
| Phone | +1 205-274-8000 |
| Fax | 2052748019 |
Authorized person
| Name | MS. KIM C LARUE |
| Role | PHARMACIST OWNER |
| Phone | 2052748000 |
Taxonomy
| Taxonomy Code | 183500000X - Pharmacist |
| License Number | 6835 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 110763 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 103632 |
| State | AL |
| Issuer | NABP |
| Number | 0116295 |
| Name | Role |
|---|---|
| SHEA, KRISTINA | Incorporator |
| LARUE, KIM | Incorporator |
| Name | Role | Address |
|---|---|---|
| KING, BRETT | Agent | 29984 STATE HIGHWAY 79 SUITE 200LOCUST FORK, AL 35097 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
