| Name: | TRC Pharmacy, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 21 Dec 2017 (7 years ago) |
| Entity Number: | 000-505-154 |
| Register Number: | 000505154 |
| County: | Shelby |
| Place of Formation: | Shelby County |
| Principal Address: | 35 STAR TREK DRIVEINDIAN SPRINGS, AL 35124 |
| Principal Address ZIP Code: | 35124 |
| Authorized Capital: | 1000 @ $1 PV |
Activities
TO OWN AND OPERATE A PHARMACY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225168370 | 2007-03-07 | 2023-06-26 | PO BOX 100, JEMISON, AL, 350850100, US | 24724 US HIGHWAY 31, JEMISON, AL, 35085, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 205-688-2032 |
| Fax | 2056882081 |
Authorized person
| Name | MRS. KAREN CRANE |
| Role | OWNER |
| Phone | 2056882032 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NABP |
| Number | 0114049 |
| State | AL |
| Issuer | MEDICAID |
| Number | 140780 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| MACOY, MARK W | Incorporator | 300 VESTAVIA PARKWAY, SUITE 2300VESTAVIA HILLS, AL 35216 |
| Name | Role | Address |
|---|---|---|
| CRANE, JIMMY | Director | 35 STAR TREK DRIVEINDIAN SPRINGS, AL 35124 |
| Name | Role | Address |
|---|---|---|
| CRANE, JIMMY | Agent | 35 STAR TREK DRIVEINDIAN SPRINGS, AL 35124 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
