| Name: | Mills Pharmacy at McCalla, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 09 Dec 2009 (15 years ago) (Companies founded in December 2009) |
| Entity Number: | 000-262-738 |
| Register Number: | 000262738 |
| Historical Names: |
Pharmacy at the Pig Inc.
|
| ZIP code: | 35226 (Companies in Jefferson, 35226) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 2400 MTN DRIVE STE 104HOOVER, AL 35226 |
| Registered Office Mailing Address: | PO BOX 26679BIRMINGHAM, AL 35260 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $100 |
Activities
DRUGSTORE/PHARMACY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649509225 | 2009-12-10 | 2020-04-10 | PO BOX 26679, BIRMINGHAM, AL, 352600679, US | 4750 EASTERN VALLEY RD, MC CALLA, AL, 351113406, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 205-477-1007 |
| Fax | 2054771027 |
Authorized person
| Name | JOSH HARDIN |
| Role | PHARMACIST |
| Phone | 2056803737 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 113337 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2123011 |
| Issuer | MEDICAID |
| Number | 115464 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| LONG, BEETINA | Agent | 2087 BANEBERRY DRHOOVER, AL 35244 |
| Name | Role | Address |
|---|---|---|
| MILLS, ROBERT W | Incorporator | 515 HUDSON DRIVEGORDO, AL 35466 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2016-01-15 | Name Change | Pharmacy at the Pig Inc. | Mills Pharmacy at McCalla, Inc. |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
