| Name: | Escambia Drug Store, Incorporated |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Corporation |
| Status: | Withdrawn |
| Entity Number: | 000-852-424 |
| Register Number: | 000852424 |
| ZIP code: | 36104 |
| County: | Montgomery |
| Place of Formation: | Delaware |
| Principal Address: | 900 MARKET STREETWILMINGTON, DE |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
Activities
OPERATE DRUG STORE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114064441 | 2007-01-30 | 2023-03-07 | 108 S MAIN STREET, ATMORE, AL, 365022446, US | 108 S MAIN STREET, ATMORE, AL, 365022446, US | |||||||||||||||||||||||||||
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| Phone | +1 251-368-3191 |
| Fax | 2513681916 |
Authorized person
| Name | MR. DAVID DEWAYNE BARNETT |
| Role | REG PHARMACIST INS TRES OF CORPERAT |
| Phone | 2513683191 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | 103720 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | ALA CONTROLLED SUBSTANCE |
| Number | #103720 |
| Issuer | NABP |
| Number | 0104050 |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
