| Name: | Jiffy Pharmacy, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 22 Jan 1999 (26 years ago) |
| Entity Number: | 000-200-393 |
| Register Number: | 000200393 |
| ZIP code: | 35611 |
| County: | Limestone |
| Place of Formation: | Limestone County |
| Principal Address: | ATHENS, AL |
| Registered Office Street Address: | 705 WEST MARKET STREETATHENS, AL 35611 |
| Authorized Capital: | $5,000 |
| Paid Share Capital: | $1,000 |
Activities
OPERATION OF PHARMACEUTICAL SUPPLY STORE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861545485 | 2007-01-18 | 2012-04-27 | 1204 W MARKET ST, ATHENS, AL, 356114769, US | 1204 W MARKET ST, ATHENS, AL, 356114769, US | |||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 256-233-2307 |
| Fax | 2562330865 |
Authorized person
| Name | MR. TERRELL G MILBY |
| Role | VICE PRESIDENT |
| Phone | 2562332307 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 111507 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FIRST COMMUNITY |
| Number | 21241 |
| State | AL |
| Issuer | BCBS DME |
| Number | 51003937 |
| State | AL |
| Issuer | MEDICAID |
| Number | 009940522 |
| 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
