| Name: | Cordova Drug Company |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 19 Apr 1916 (109 years ago) (Companies founded in April 1916) |
| Date of dissolution: | 14 Mar 1919 |
| Entity Number: | 000-730-549 |
| Register Number: | 000730549 |
| Place of Formation: | Walker County |
| Principal Address: | CORDOVA, AL |
| Authorized Capital: | $3,000 |
| Paid Share Capital: | $1,500 |
Activities
DRUGS ETC
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801993035 | 2006-09-20 | 2008-08-08 | 83 MAIN ST, CORDOVA, AL, 355501414, US | 83 MAIN ST, CORDOVA, AL, 355501414, US | |||||||||||||||||||||||||
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| Phone | +1 205-483-7811 |
| Fax | 2054837821 |
Authorized person
| Name | KENNETH SAMUEL GLOVER II |
| Role | OWNER |
| Phone | 2056489918 |
Taxonomy
| Taxonomy Code | 183500000X - Pharmacist |
| License Number | 111584 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100000897 |
| State | AL |
| Name | Role |
|---|---|
| TUBB, E H | Incorporator |
| WALDROP, A M | Incorporator |
| LEWIS, GEO C | Incorporator |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
