| Name: | ICRx, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 09 Dec 2014 (10 years ago) (Companies founded in December 2014) |
| Date of dissolution: | 08 Dec 2023 |
| Entity Number: | 000-324-647 |
| Register Number: | 000324647 |
| ZIP code: | 35640 (Companies in Morgan, 35640) |
| County: | Morgan |
| Place of Formation: | Morgan County |
| Principal Address: | 1200 LAKEWOOD DR NWHARTSELLE, AL 35640 |
| Authorized Capital: | 1000 @ $1.00PV |
Activities
ALL LAWFUL BUSINESS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487052411 | 2014-12-08 | 2018-07-19 | 301 GOVERNORS DR SW, HUNTSVILLE, AL, 358015123, US | 301 GOVERNORS DR SW, HUNTSVILLE, AL, 358015123, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 256-534-4533 |
| Fax | 2565341208 |
Authorized person
| Name | CHRISTINA MACINTOSH |
| Role | VICE PRESIDENT/PIC/AO |
| Phone | 2565344533 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 114453 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 169709 |
| State | AL |
| Issuer | PK |
| Number | 2150394 |
| Name | Role | Address |
|---|---|---|
| MACINTOSH, BRIAN | Agent | 1200 LAKEWOOD DR NWHARTSELLE, AL 35640 |
| Name | Role | Address |
|---|---|---|
| MACINTOSH, BRIAN | Director | 1200 LAKEWOOD DR NWHARTSELLE, AL 35640 |
| MACINTOSH, CHRISTINA | Director | 1200 LAKEWOOD DR NWHARTSELLE, AL 35640 |
| Name | Role | Address |
|---|---|---|
| MACINTOSH, BRIAN | Incorporator | 1200 LAKEWOOD DR NWHARTSELLE, AL 35640 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
