| Name: | St. Florian Pharmacy, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 07 Nov 2012 (12 years ago) |
| Entity Number: | 000-270-607 |
| Register Number: | 000270607 |
| County: | Lauderdale |
| Place of Formation: | Lauderdale County |
| Principal Address: | 776 COUNTY ROAD 94FLORENCE, AL |
| Registered Office Street Address: | 776 COUNTY ROAD 94FLORENCE, AL 35634 |
| Registered Office Street Address ZIP Code: | 35634 |
| Authorized Capital: | $1,000@$1.00PV |
| Paid Share Capital: | $100 |
Activities
RETAIL PHARMACY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144747700 | 2017-08-24 | 2018-07-19 | 4395 COUNTY ROAD 47, FLORENCE, AL, 356308998, US | 4395 COUNTY ROAD 47, FLORENCE, AL, 356308998, US | |||||||||||||||||||||||||||
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| Phone | +1 256-765-0123 |
| Fax | 2567650124 |
Authorized person
| Name | DEREK RAY |
| Role | OWNER, PRES, TCH, AO |
| Phone | 2567650123 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 114756 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2171240 |
| Name | Role | Address |
|---|---|---|
| RAY, DEREK W | Agent | 3301 VETERANS DRIVEFLORENCE, AL 35630 |
| Name | Role | Address |
|---|---|---|
| RAY, DEREK WAYNE | Director | 776 COUNTY ROAD 94FLORENCE, AL 35634 |
| ANDERSON, CRAIG HOPKINS | Director | 224 BROOKSIDE DRIVEKILLEN, AL 35645 |
| Name | Role | Address |
|---|---|---|
| RAY, DEREK W | Incorporator | 3301 VETERANS DRIVEFLORENCE, AL 35630 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
