| Name: | Super Bee Discount Pharmacy, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 15 Feb 1971 (54 years ago) |
| Entity Number: | 000-004-215 |
| Register Number: | 000004215 |
| Historical Names: |
Church Street Pharmacy, Inc.
|
| ZIP code: | 35905 |
| County: | Etowah |
| Place of Formation: | Etowah County |
| Principal Address: | RAINBOW CITY, AL |
| Registered Office Street Address: | 1308 SIBERT DRIVEGLENCOE, AL 35905 |
| Authorized Capital: | $10,000 |
| Paid Share Capital: | $1,000 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912067752 | 2006-12-11 | 2024-09-25 | 3225 RAINBOW DR STE 200A, RAINBOW CITY, AL, 359065860, US | 3225 RAINBOW DR STE 200A, RAINBOW CITY, AL, 359065860, US | |||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 256-442-2592 |
| Fax | 2564422587 |
Authorized person
| Name | DEBORAH HUTCHESON ADAMS |
| Role | OWNER/PHARMACIST |
| Phone | 2564422592 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 4148 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | 109340 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100001093 |
| State | AL |
| Issuer | NABP |
| Number | 0110902 |
| State | AL |
| Name | Role |
|---|---|
| KNIGHT, G B | Incorporator |
| KNIGHT, VERNA N | Incorporator |
| BLANKS, WILSON E | Incorporator |
| Name | Role |
|---|---|
| DEBORAH ADAMS | Agent |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2006-01-31 | Name Change | Church Street Pharmacy, Inc. | Super Bee Discount Pharmacy, Inc. |
| 1971-03-30 | Capital Change | $1,000 Authorized $1,000 Paid In | $10,000 Authorized $1,000 Paid In |
Date of last update: 29 Jul 2024
Sources: Alabama Secretary of State
