| Name: | Payless Pharmacy Express #2, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 25 May 1995 (30 years ago) |
| Date of dissolution: | 28 Feb 2024 |
| Entity Number: | 000-172-197 |
| Register Number: | 000172197 |
| ZIP code: | 35611 |
| County: | Limestone |
| Place of Formation: | Limestone County |
| Principal Address: | ATHENS, AL |
| Registered Office Street Address: | 705 WEST MARKET STATHENS, AL 35611 |
| Authorized Capital: | $5,000 |
| Paid Share Capital: | $1,000 |
Activities
BUSINESS OF A DRUGSTORE/PHARMACY & APOTHECARY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407917461 | 2006-12-13 | 2012-01-11 | 1517 MOULTON ST W, DECATUR, AL, 356012149, US | 1517 MOULTON ST W, DECATUR, AL, 356012149, US | |||||||||||||||||||||||||
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| Phone | +1 256-355-1815 |
| Fax | 2563505300 |
Authorized person
| Name | MR. JEFF D CAMP |
| Role | VICE PRESIDENT |
| Phone | 2563551815 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | 110475 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100002705 |
| State | AL |
| Name | Role |
|---|---|
| MAUND, JOHN D | Agent |
| Name | Role | Address |
|---|---|---|
| MAUND, JOHN D | Incorporator | No data |
| SANDLIN, STEVE | Incorporator | No data |
| CAMP, JEFF | Incorporator | 39395 HWY 21MUNFORD, AL 36268 |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
