Name: | Mainstreet Drugs, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 20 Mar 2014 (11 years ago) |
Entity Number: | 000-299-586 |
Register Number: | 000299586 |
County: | Saint Clair |
Place of Formation: | Jefferson County |
Principal Address: | 2319 COGSWELL AVENUEPELL CITY, AL 35128 |
Principal Address ZIP Code: | 35128 |
Registered Office Mailing Address: | P O BOX 787ODENVILLE, AL 35120 |
Registered Office Mailing Address ZIP Code: | 35120 |
Registered Office Street Address: | 2319 COGSWELL AVE, STE 104PELL CITY, AL 35125 |
Registered Office Street Address ZIP Code: | 35125 |
Authorized Capital: | 1,000 @ $1 PV |
Activities
RETAIL PHARMACY
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1043638356 | 2014-04-03 | 2014-05-01 | PO BOX 787, ODENVILLE, AL, 351200787, US | 2319 COGSWELL AVE, STE 400, PELL CITY, AL, 351251734, US | |||||||||||||||||||||||||
|
Phone | +1 205-369-2391 |
Fax | 2056297450 |
Authorized person
Name | MR. CURTIS MARSHALL EDDY |
Role | OWNER/PHARMACIST |
Phone | 2056296303 |
Taxonomy
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
License Number | 114328 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 158709 |
State | AL |
Name | Role | Address |
---|---|---|
EDDY, CURTIS M | Agent | 818 FUNDERBURG BEND RDPELL CITY, AL 35128 |
Name | Role | Address |
---|---|---|
EDDY, CURTIS M | Director | 818 FUNDERBURG BEND RDPELL CITY, AL 35128 |
Name | Role | Address |
---|---|---|
HASTY, WILLIAM D JR | Incorporator | 2090 COLUMBIANA ROAD STE 2000BIRMINGHAM, AL 35216 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State