| Name: | Richardson Pharmaceutical, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 22 Jan 2016 (9 years ago) |
| Entity Number: | 000-352-706 |
| Register Number: | 000352706 |
| County: | Colbert |
| Place of Formation: | Colbert County |
| Principal Address: | 1703 WILDWOOD STREETMUSCLE SHOALS, AL 35661 |
| Principal Address ZIP Code: | 35661 |
| Registered Office Street Address: | 125 DALTON LANETUSCUMBIA, AL 35674 |
| Registered Office Street Address ZIP Code: | 35674 |
| Authorized Capital: | 100 @ 1.00 PF |
Activities
MANAGING RETAIL PHARMACIES AND OTHER ACTIVITIES RELATED THERETO
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JDLNVKHHM8H3 | 2024-12-11 | 2230 RAILROAD ST, LEIGHTON, AL, 35646, 3819, USA | 2230 RAILROAD STREET, LEIGHTON, AL, 35646, 3819, USA | |||||||||||||||||||||||||||||||||||||||||||
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| URL | www.facebook.com/leightonpharmacy |
| Division Name | LEIGHTON PHARMACY |
| Congressional District | 04 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2023-12-15 |
| Initial Registration Date | 2023-12-12 |
| Entity Start Date | 2016-12-22 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 456110 |
| Product and Service Codes | 6505 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | PHILIP RICHARDSON JR |
| Address | 2230 RAILROAD STREET, LEIGHTON, AL, 35646, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | PHILIP RICHARDSON JR |
| Address | 2230 RAILROAD STREET, LEIGHTON, AL, 35646, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982159935 | 2016-08-19 | 2019-11-25 | 2230 RAILROAD ST, LEIGHTON, AL, 356463819, US | 2230 RAILROAD ST, LEIGHTON, AL, 356463819, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 256-446-6527 |
| Fax | 2564462585 |
Authorized person
| Name | NATASHA C RICHARDSON |
| Role | PRESIDENT |
| Phone | 2564466527 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | 106070 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1000003311 |
| State | AL |
| Issuer | PK |
| Number | 2163724 |
| Name | Role | Address |
|---|---|---|
| RICHARDSON, NATASHA C | Agent | 1703 WILDWOOD STREETMUSCLE SHOALS, AL 35661 |
| Name | Role | Address |
|---|---|---|
| RICHARDSON, NATASHA CHANEY | Director | 1703 WILDWOOD STREETMUSCLE SHOALS, AL 35661 |
| Name | Role | Address |
|---|---|---|
| RICHARDSON, NATASHA C | Incorporator | 1703 WILDWOOD STREETMUSCLE SHOALS, AL 35661 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
