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Modern Drug of Bayou La Batre, Inc.

Details

Name: Modern Drug of Bayou La Batre, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 27 Aug 1990 (34 years ago)
Date of dissolution: 23 Jun 2015
Entity Number: 000-138-721
Register Number: 000138721
ZIP code: 36509
County: Mobile
Place of Formation: Mobile County
Principal Address: BAYOU LA BATRE, AL
Registered Office Street Address: 83 SOUTH WINTZELL AVENUEBAYOU LA BATRE, AL 36509
Authorized Capital: $100

Activities SALE & PURCHASE PHARMACEUTICAL PRODUCTS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679610802 2007-01-30 2020-08-22 13845 S WINTZELL AVE, BAYOU LA BATRE, AL, 365092401, US 13845 S WINTZELL AVE, BAYOU LA BATRE, AL, 365092401, US

Contacts

Phone +1 251-824-2115
Fax 2518244961

Authorized person

Name JAMES ACYE PITTMAN
Role PHARMACIST
Phone 2518242115

Taxonomy

Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number 11511
State AL
Is Primary Yes

Agent

Name Role
PITTMAN, MARY LOUISE Agent

Incorporator

Name Role
PITTMAN, MARY LOUISE Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State