| Name: | Douglas Discount Pharmacy, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 30 Jan 1996 (29 years ago) |
| Entity Number: | 000-177-335 |
| Register Number: | 000177335 |
| ZIP code: | 35980 |
| County: | Marshall |
| Place of Formation: | Marshall County |
| Principal Address: | DOUGLAS, AL |
| Registered Office Street Address: | 9137 HIGHWAY 75 SOUTHDOUGLAS, AL 35980 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | ---- |
Activities
RETAIL DRUG STORE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093885097 | 2006-11-08 | 2020-12-16 | PO BOX 28, DOUGLAS, AL, 35964, US | 9461 AL HIGHWAY 75 STE A, HORTON, AL, 359808399, US | |||||||||||||||||||||
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| Phone | +1 256-593-1750 |
| Fax | 2565931711 |
Authorized person
| Name | MR. JIMMY BRUCE GANN JR. |
| Role | PHARMACIST |
| Phone | 2565931750 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100002809 |
| State | AL |
| Name | Role |
|---|---|
| GANN, JIMMY B JR | Agent |
| Name | Role |
|---|---|
| SPEAR, NORMAN W | Incorporator |
| SPEAR, SHERRIE T | Incorporator |
| GANN, JIMMY B JR | Incorporator |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6956857004 | 2020-04-07 | 0459 | PPP | 9137 AL HIGHWAY 75, HORTON, AL, 35980-8450 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
