| Name: | The Generic Pharmacy-Dothan, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 06 Sep 2016 (8 years ago) |
| Date of dissolution: | 28 Apr 2020 |
| Entity Number: | 000-371-074 |
| Register Number: | 000371074 |
| ZIP code: | 36350 |
| County: | Dale |
| Place of Formation: | Dale County |
| Registered Office Street Address: | 112 RED CYPRESS RUNMIDLAND CITY, AL 36350 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518403914 | 2017-01-10 | 2017-03-06 | 2115 E MAIN ST, SUITE #4, DOTHAN, AL, 363013044, US | 2115 E MAIN ST, SUITE #4, DOTHAN, AL, 363013044, US | |||||||||||||||||||||||||||
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| Phone | +1 334-798-1827 |
| Fax | 3344463010 |
Authorized person
| Name | ALLEN STRICKLAND |
| Role | PHARMACIST/OWNER |
| Phone | 3347981827 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | 114685 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2167709 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GENERIC PHARMACY-DOTHAN LLC 401(K) PROFIT SHARING PLAN & TRUST | 2019 | 813894827 | 2020-04-23 | GENERIC PHARMACY-DOTHAN LLC | 7 | |||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2020-04-23 |
| Name of individual signing | EDWARD ROJAS |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 3344466221 |
| Plan sponsor’s address | 2115 E MAIN ST STE 4, DOTHAN, AL, 36301 |
Plan administrator’s name and address
| Administrator’s EIN | 264477125 |
| Plan administrator’s name | 401K GENERATION |
| Plan administrator’s address | 195 INTERNATIONAL PKWY, S #311, LAKE MARY, FL, 32746 |
| Administrator’s telephone number | 8669985879 |
Signature of
| Role | Plan administrator |
| Date | 2019-06-04 |
| Name of individual signing | EDWARD ROJAS |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 3344466221 |
| Plan sponsor’s address | 2115 E MAIN ST STE 4, DOTHAN, AL, 36301 |
Plan administrator’s name and address
| Administrator’s EIN | 264477125 |
| Plan administrator’s name | 401K GENERATION |
| Plan administrator’s address | 195 INTERNATIONAL PKWY, S #311, LAKE MARY, FL, 32746 |
| Administrator’s telephone number | 8669985879 |
Signature of
| Role | Plan administrator |
| Date | 2019-06-04 |
| Name of individual signing | EDWARD ROJAS |
| Name | Role | Address |
|---|---|---|
| STRICKLAND, RICHARD A | Agent | 1566 A ANDREWS AVENUEOZARK, AL 36360 |
| Name | Role | Address |
|---|---|---|
| LEGALZOOM.COM INC | Organizer | 101 N BRAND BLVD 10TH FLOORGLENDALE, CA 91203 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
