| Name: | Brannon Stand Drugs, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 09 Jul 2014 (10 years ago) |
| Entity Number: | 000-313-408 |
| Register Number: | 000313408 |
| County: | Houston |
| Place of Formation: | Houston County |
| Principal Address: | 107 CAVEL LANEDOTHAN, AL 36305 |
| Principal Address ZIP Code: | 36305 |
| Authorized Capital: | 5000 @ $1.00 PV |
Activities
PHARMACY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225447485 | 2014-08-12 | 2022-05-09 | 1971 S BRANNON STAND RD, SUITE 1, DOTHAN, AL, 363057180, US | 1971 S BRANNON STAND RD, SUITE 1, DOTHAN, AL, 363057180, US | |||||||||||||||||||||||||
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| Phone | +1 334-446-5300 |
| Fax | 3344463122 |
Authorized person
| Name | DR. KEVIN A TAYLOR |
| Role | SUPERVISING PHARMACIST |
| Phone | 8503261525 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 165755 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| TAYLOR, KEVIN A | Agent | 107 CAVEL LANEDOTHAN, AL 36305 |
| Name | Role | Address |
|---|---|---|
| TAYLOR, DONALD K | Director | 5324 BROWN STREETGRACEVILLE, FL 32440 |
| TAYLOR, KEVIN A | Director | 107 CAVEL LANEDOTHAN, AL 36305 |
| Name | Role | Address |
|---|---|---|
| TAYLOR, BRIAN T | Incorporator | 11096 S STATE HIGHWAY 605SLOCOMB, AL 36305 |
| TAYLOR, KEVIN A | Incorporator | 107 CAVEL LANEDOTHAN, AL 36305 |
| TAYLOR, DONALD K | Incorporator | 5324 BROWN STREETGRACEVILLE, FL 32440 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
