| Name: | Florala Pharmacy, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 28 Jul 1966 (59 years ago) |
| Entity Number: | 000-007-297 |
| Register Number: | 000007297 |
| Place of Formation: | Covington County |
| Principal Address: | FLORALA, AL |
| Authorized Capital: | $16,000 |
| Paid Share Capital: | $16,000 |
Activities
DRUG & SUNDRY BUSINESS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700421286 | 2019-11-08 | 2022-05-10 | 23355 5TH AVE, FLORALA, AL, 364423818, US | 402 MEETING AVENUE, GEORGIANA, AL, 36033, US | |||||||||||||||||||||||||||
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| Phone | +1 334-858-3291 |
| Phone | +1 334-376-2000 |
| Fax | 3343762276 |
Authorized person
| Name | CHARLES THOMAS SMITH |
| Role | OWNER/PRESIDENT |
| Phone | 3348583291 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 241564 |
| State | AL |
| Name | Role |
|---|---|
| QUILL, MARY ELEANOR MRS | Incorporator |
| QUILLIN, MARY SUSAN MRS | Incorporator |
| SELLERS, A C | Incorporator |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7764877108 | 2020-04-14 | 0459 | PPP | 23355 5TH AVE, FLORALA, AL, 36442-3818 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
