| Name: | Dalton Drug Co., Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 25 Mar 1980 (45 years ago) |
| Entity Number: | 000-060-735 |
| Register Number: | 000060735 |
| ZIP code: | 36375 |
| County: | Geneva |
| Place of Formation: | Geneva County |
| Principal Address: | SLOCOMB, AL |
| Registered Office Street Address: | 141 S DALTON STSLOCOMB, AL 36375 |
| Registered Office Mailing Address: | PO BOX 279SLOCOMB, AL 36375 |
| Authorized Capital: | $16,000 |
| Paid Share Capital: | $16,000 |
Activities
DRUGS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679584247 | 2006-08-10 | 2021-01-20 | 141 S DALTON ST, PO BOX 279, SLOCOMB, AL, 363755483, US | 141 S DALTON ST, SLOCOMB, AL, 363755483, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 334-886-2442 |
| Fax | 3398867442 |
Authorized person
| Name | JOE DALTON |
| Role | OWNER |
| Phone | 3348862442 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 103010 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100000176 |
| State | AL |
| Issuer | PK |
| Number | 1988921 |
| Name | Role | Address |
|---|---|---|
| DALTON, JOE A | Agent | 141 SIYTG DAKTIB STREETSLOCOMB, AL 36375 |
| Name | Role |
|---|---|
| DALTON, CHARLES H JR | Incorporator |
| DALTON, JEP PAUL SR | Incorporator |
| DALTON, HELEN M | Incorporator |
| DALTON, CHARLES H SR | Incorporator |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
