Name: | Shoals Family Pharmacy Group, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 11 Aug 2009 (15 years ago) (Companies founded in August 2009) |
Entity Number: | 000-261-732 |
Register Number: | 000261732 |
ZIP code: | 35661 (Companies in Colbert, 35661) |
County: | Colbert |
Place of Formation: | Colbert County |
Principal Address: | MUSCLE SHOALS, AL |
Registered Office Street Address: | 118 STORNY DRMUSCLE SHOALS, AL 35661 |
Authorized Capital: | $500 |
Activities
ANY LAWFUL ACTIVITY
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1427384577 | 2009-10-26 | 2015-10-20 | 455 UNDERWOOD RD, RUSSELLVILLE, AL, 356534111, US | 318 JACKSON AVE S, SUITE 1, RUSSELLVILLE, AL, 356532207, US | |||||||||||||||||||||||||||
|
Phone | +1 256-332-5545 |
Fax | 2563325582 |
Phone | +1 256-332-8550 |
Fax | 2563328081 |
Authorized person
Name | JEREMY LANE |
Role | OWNER/PHARMACIST |
Phone | 2568103331 |
Taxonomy
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
License Number | 113306 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | PK |
Number | 2122271 |
Name | Role | Address |
---|---|---|
KIEL, JODY | Agent | 118 STORMY DRIVEMUSCLE SHOALS, AL 35661 |
Name | Role | Address |
---|---|---|
CORLEY, TIMOTHY K | Incorporator | 2815 DARBY DRIVEFLORENCE, AL 35630 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State