| Name: | Watson Drug Store, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 04 Jan 2000 (25 years ago) (Companies founded in January 2000) |
| Date of dissolution: | 03 Nov 2014 |
| Entity Number: | 000-667-838 |
| Register Number: | 000667838 |
| ZIP code: | 36272 (Companies in Calhoun, 36272) |
| County: | Calhoun |
| Place of Formation: | Calhoun County |
| Principal Address: | PIEDMONT, AL |
| Registered Office Street Address: | 121 NO CENTER AVEPIEDMONT, AL 36272 |
Activities
OPERATE DRUG STORE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073609137 | 2006-10-05 | 2020-08-22 | 121 N CENTER AVE, PIEDMONT, AL, 362722013, US | 121 N CENTER AVE, PIEDMONT, AL, 362722013, US | |||||||||||||||||||||||||
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| Phone | +1 256-447-9093 |
| Fax | 2564472927 |
Authorized person
| Name | MR. JOHN H ROBERTS |
| Role | OWNER |
| Phone | 2564479093 |
Taxonomy
| Taxonomy Code | 183500000X - Pharmacist |
| License Number | 8056 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 10000364 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| ROBERTS, JOHN H | Agent | 1608 13TH STREET SOUTH SUITE 300BIRMINGHAM, AL 35205 |
| Name | Role | Address |
|---|---|---|
| ROBERTS, JOHN H | Member | 1608 13TH STREET SOUTH SUITE 300BIRMINGHAM, AL 35205 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
