| Name: | Corbett Pharmacy, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 10 Mar 2008 (17 years ago) |
| Date of dissolution: | 07 Dec 2016 |
| Entity Number: | 000-256-480 |
| Register Number: | 000256480 |
| ZIP code: | 35594 |
| County: | Marion |
| Place of Formation: | Marion County |
| Principal Address: | WINFIELD, AL |
| Registered Office Street Address: | 145 STATE HWY 253 STE CWINFIELD, AL 35594 |
| Authorized Capital: | $50,000 |
| Paid Share Capital: | $10,000 |
Activities
PHARMACY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053585687 | 2008-04-15 | 2013-02-12 | 145 STATE HIGHWAY 253, STE C, WINFIELD, AL, 355945364, US | 145 STATE HIGHWAY 253, STE C, WINFIELD, AL, 355945364, US | |||||||||||||||||||||||||
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| Phone | +1 205-487-4199 |
| Fax | 2059328095 |
| Fax | 2054876009 |
Authorized person
| Name | GEORGE BOLLING |
| Role | OWNER |
| Phone | 2054874199 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 102759 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 0135295 |
| Name | Role | Address |
|---|---|---|
| BOLLING, GEORGE R JR | Agent | 170 5TH STREET SWVERNON, AL 35592 |
| Name | Role | Address |
|---|---|---|
| BOLLING, GEORGE R JR | Incorporator | 170 5TH STREET SWVERNON, AL 35592 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
