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Broad Street Health, Inc.

Details

Name: Broad Street Health, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 22 May 2023 (a year ago)
Entity Number: 001-080-583
Register Number: 001080583
County: Mobile
Place of Formation: Alabama
Registered Office Street Address: 67 WIMBLEDON DRIVEMOBILE, AL 36608
Registered Office Street Address ZIP Code: 36608
Principal Address: 1050 SOUTH BROAD STREETMOBILE, AL 36603
Principal Address ZIP Code: 36603
Authorized Capital: 10000 @ PV $1.00

Activities TO SERVE AS A PHARMACY AND A CONVENIENCE STORE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619744174 2023-12-05 2024-02-22 1050 S BROAD ST, MOBILE, AL, 366031038, US 1050 S BROAD ST, MOBILE, AL, 366031038, US

Contacts

Phone +1 251-554-7657
Phone +1 251-432-5601

Authorized person

Name STERLING RIVERS
Role OWNER/PHARMACIST
Phone 2514325601

Taxonomy

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

Agent

Name Role Address
STERLING L RIVERS Agent 67 WIMBLEDON DRIVEMOBILE, AL 36608

Incorporator

Name Role Address
STERLING L RIVERS Incorporator 67 WIMBLEDON DRIVEMOBILE, AL 36608

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State