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Whitaker Drugs LLC

Details

Name: Whitaker Drugs LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 28 Oct 2016 (8 years ago)
Entity Number: 000-375-275
Register Number: 000375275
ZIP code: 36726
County: Wilcox
Place of Formation: Wilcox County
Registered Office Street Address: 108 BROAD STREETCAMDEN, AL 36726

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164966859 2016-12-14 2017-03-08 20 CAMDEN BYP, CAMDEN, AL, 367261770, US 20 CAMDEN BYP, CAMDEN, AL, 367261770, US

Contacts

Phone +1 334-682-9990
Fax 3346829991

Authorized person

Name CHARLES WHITAKER
Role PHARMACIST
Phone 3344561589

Taxonomy

Taxonomy Code 333600000X - Pharmacy
Is Primary No
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number 114682
State AL
Is Primary Yes
Taxonomy Code 3336C0004X - Compounding Pharmacy
Is Primary No

Other Provider Identifiers

Issuer PK
Number 2166834
Issuer MEDICAID
Number 194179
State AL

Agent

Name Role
FENDLEY, WILLIAM G Agent

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1707537205 2020-04-15 0459 PPP 20 Camden Bypass, Camden, AL, 36726
Loan Status Date 2021-03-17
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 41500
Loan Approval Amount (current) 41500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 121536
Servicing Lender Name Customers Bank
Servicing Lender Address 40 General Warren Blvd, Malvern, PA, 19355
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Camden, WILCOX, AL, 36726-0001
Project Congressional District AL-07
Number of Employees 8
NAICS code 453998
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Sole Proprietorship
Originating Lender ID 499141
Originating Lender Name Readycap Lending, LLC
Originating Lender Address BERKELEY HEIGHTS, NJ
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 41830.86
Forgiveness Paid Date 2021-02-23

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State