| Name: | Payless at Fred's, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 18 Oct 1995 (29 years ago) |
| Date of dissolution: | 28 Dec 2018 |
| Entity Number: | 000-175-156 |
| Register Number: | 000175156 |
| ZIP code: | 35611 |
| County: | Limestone |
| Place of Formation: | Limestone County |
| Principal Address: | ATHENS, AL |
| Registered Office Street Address: | 705 WEST MARKETATHENS, AL 35611 |
| Authorized Capital: | $5,000 |
| Paid Share Capital: | $1,000 |
Activities
OPERATION OF A DRUGSTORE/PHARMACY & APOTHECARY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912355231 | 2016-05-26 | 2016-05-26 | P.O. BOX 566, ARDMORE, TN, 384490429, US | 29930 ARDMORE AVENUE, ARDMORE, AL, 357397450, US | |||||||||||||||||||||||||||||||
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| Phone | +1 256-423-8969 |
| Fax | 2564238990 |
| Phone | +1 256-423-8989 |
Authorized person
| Name | NICK W HOLLAND |
| Role | OWNER |
| Phone | 2564232680 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 110617 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100002271 |
| State | AL |
| Name | Role |
|---|---|
| MAUND, JOHN D | Agent |
| Name | Role |
|---|---|
| MAUND, JOHN D | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
