| Name: | Hanceville Drug Company, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 09 Nov 2016 (8 years ago) (Companies founded in November 2016) |
| Entity Number: | 000-376-077 |
| Register Number: | 000376077 |
| ZIP code: | 35077 (Companies in Cullman, 35077) |
| County: | Cullman |
| Place of Formation: | Cullman County |
| Registered Office Street Address: | 101 COMMERCIAL STREET SEHANCEVILLE, AL 35077 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770635021 | 2007-01-17 | 2017-03-29 | 101 COMMERCIAL ST SE, HANCEVILLE, AL, 350775516, US | 101 COMMERCIAL ST SE, HANCEVILLE, AL, 350775516, US | |||||||||||||||||||||||
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| Phone | +1 256-352-4110 |
| Fax | 2563525660 |
Authorized person
| Name | BENJAMIN BURKART |
| Role | OWNER/PHARMACIST |
| Phone | 2563524110 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 105010 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2166648 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HANCEVILLE DRUG (WELFARE PLAN) | 2022 | 814401534 | 2023-07-27 | HANCEVILLE DRUG | 2 | |||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 472506773 |
| Plan administrator’s name | KENNION & CO, LLC |
| Plan administrator’s address | 2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243 |
| Administrator’s telephone number | 8669665457 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-18 |
| Name of individual signing | W. HAL SHEPHERD |
| Role | Employer/plan sponsor |
| Date | 2023-07-18 |
| Name of individual signing | W. HAL SHEPHERD |
| File | View Page |
| Three-digit plan number (PN) | 951 |
| Effective date of plan | 2020-10-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 8669665457 |
| Plan sponsor’s address | 101 COMMERCIAL STREET SE, HANCEVILLE, AL, 35077 |
Plan administrator’s name and address
| Administrator’s EIN | 472506773 |
| Plan administrator’s name | KENNION & CO, LLC |
| Plan administrator’s address | 2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243 |
| Administrator’s telephone number | 8669665457 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-21 |
| Name of individual signing | W. HAL SHEPHERD |
| Role | Employer/plan sponsor |
| Date | 2022-07-21 |
| Name of individual signing | W. HAL SHEPHERD |
| File | View Page |
| Three-digit plan number (PN) | 951 |
| Effective date of plan | 2020-10-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 8669665457 |
| Plan sponsor’s address | 101 COMMERCIAL STREET SE, HANCEVILLE, AL, 35077 |
Plan administrator’s name and address
| Administrator’s EIN | 472506773 |
| Plan administrator’s name | KENNION & CO, LLC |
| Plan administrator’s address | 2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243 |
| Administrator’s telephone number | 8669665457 |
Signature of
| Role | Plan administrator |
| Date | 2021-07-23 |
| Name of individual signing | W. HAL SHEPHERD |
| Role | Employer/plan sponsor |
| Date | 2021-07-23 |
| Name of individual signing | W. HAL SHEPHERD |
| Name | Role |
|---|---|
| BURKART, BENJAMIN B | Agent |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
