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Bowen Pharmacy LLC

Details

Name: Bowen Pharmacy LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 27 Dec 2004 (20 years ago)
Entity Number: 000-458-540
Register Number: 000458540
County: Houston
Place of Formation: Houston County
Principal Address: DOTHAN, AL
Registered Office Street Address: 1906 FAIRVIEW AVEDOTHAN, AL 36301
Registered Office Street Address ZIP Code: 36301

Activities OWN/OPERATE/MANAGE RETAIL PHARMACY/MERCHANDISE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225133275 2006-09-14 2019-06-27 110 HEALTHEAST DR, DOTHAN, AL, 363031282, US 110 HEALTHEAST DRIVE, DOTHAN, AL, 363031282, US

Contacts

Phone +1 334-794-4211
Fax 3347126791

Authorized person

Name TINA COLLIER STRINGER
Role OWNER/PHARMACIST
Phone 3347944211

Taxonomy

Taxonomy Code 3336C0003X - Community/Retail Pharmacy
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 100003779
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BOWEN PHARMACY, LLC PROFIT SHARING PLAN 2022 202087619 2023-07-31 BOWEN PHARMACY, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 446110
Sponsor’s telephone number 3347944211
Plan sponsor’s address 110 HEATHEAST DRIVE, DOTHAN, AL, 36303

Signature of

Role Plan administrator
Date 2023-07-31
Name of individual signing TINA C. STRINGER
BOWEN PHARMACY (WELFARE PLAN) 2022 202087619 2023-07-27 BOWEN PHARMACY 4
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 1906 FAIRWVIEW AVENUE, DOTHAN, AL, 36301

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 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
BOWEN PHARMACY, LLC PROFIT SHARING PLAN 2021 202087619 2022-07-15 BOWEN PHARMACY, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 446110
Sponsor’s telephone number 3347944211
Plan sponsor’s address 110 HEATHEAST DRIVE, DOTHAN, AL, 36303

Signature of

Role Plan administrator
Date 2022-07-15
Name of individual signing TINA C. STRINGER
BOWEN PHARMACY (WELFARE PLAN) 2021 202087619 2022-07-29 BOWEN PHARMACY 4
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 1906 FAIRWVIEW AVENUE, DOTHAN, AL, 36301

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 2022-07-20
Name of individual signing W. HAL SHEPHERD
Role Employer/plan sponsor
Date 2022-07-20
Name of individual signing W. HAL SHEPHERD
BOWEN PHARMACY (WELFARE PLAN) 2020 202087619 2021-07-25 BOWEN PHARMACY 0
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 1906 FAIRWVIEW AVENUE, DOTHAN, AL, 36301

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
BOWEN PHARMACY, LLC PROFIT SHARING PLAN 2020 202087619 2021-04-19 BOWEN PHARMACY, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 446110
Sponsor’s telephone number 3347944211
Plan sponsor’s address 110 HEALTHEAST DRIVE, DOTHAN, AL, 36303

Signature of

Role Plan administrator
Date 2021-04-19
Name of individual signing TINA STRINGER
BOWEN PHARMACY, LLC PROFIT SHARING PLAN 2019 202087619 2020-07-14 BOWEN PHARMACY, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 446110
Sponsor’s telephone number 3347944211
Plan sponsor’s address 110 HEALTHEAST DRIVE, DOTHAN, AL, 36303

Signature of

Role Plan administrator
Date 2020-07-14
Name of individual signing TINA STRINGER
BOWEN PHARMACY, LLC PROFIT SHARING PLAN 2018 202087619 2019-10-10 BOWEN PHARMACY, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 446110
Sponsor’s telephone number 3347944211
Plan sponsor’s address 110 HEALTHEAST DRIVE, DOTHAN, AL, 36303

Signature of

Role Plan administrator
Date 2019-10-10
Name of individual signing TINA STRINGER

Agent

Name Role
BOWEN, GEORGE C JR Agent

Member

Name Role
BOWEN, GEORGE C JR Member
FOREHAND, JAMES A Member

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State