| Name: | North Jefferson Pharmacy, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 25 Jul 1994 (31 years ago) |
| Date of dissolution: | 12 Jul 2022 |
| Entity Number: | 000-165-677 |
| Register Number: | 000165677 |
| Historical Names: |
Norwood Apothecary, Inc., Acquisition Co., a close corporation
|
| ZIP code: | 35234 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 1529 NORTH 25TH STBIRMINGHAM, AL 35234 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $100 |
Activities
OPERATION OF A PHARMACY
DRUGSTORE & APOTHECARY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396873782 | 2007-02-28 | 2009-08-06 | PO BOX 903, FULTONDALE, AL, 350680903, US | 341 WALKER CHAPEL PLAZA, SUITE 109, FULTONDALE, AL, 350680903, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 205-502-1010 |
| Fax | 2055021012 |
Authorized person
| Name | MR. JOHN ROBERT WILSON |
| Role | PRESIDENT |
| Phone | 2055021010 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 110415 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP NUMBER |
| Number | 0115281 |
| Issuer | MEDICAID |
| Number | 100002687 |
| State | AL |
| Name | Role |
|---|---|
| WILSON, JOHN R | Agent |
| Name | Role | Address |
|---|---|---|
| TYLER, AHRIAN D | Incorporator | 505 N 20TH STBIRMINGHAM, AL 35203 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2009-06-01 | Name Change | Norwood Apothecary, Inc., Acquisition Co., a close corporation | North Jefferson Pharmacy, Inc. |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
