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PUCKETT-ULLOM, INC.

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Company Details

Name: PUCKETT-ULLOM, INC.
Legal type: Kentucky Corporation
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 10 Nov 1994 (31 years ago)
Organization Date: 10 Nov 1994 (31 years ago)
Last Annual Report: 17 Jan 2007 (18 years ago)
Organization Number: 0338267
ZIP code: 40213
City: Louisville, Audubon Park, Lynnview, Poplar Hills
Primary County: Jefferson County
Principal Office: 3501 POPLAR LEVEL RD., LOUISVILLE, KY 40213
Place of Formation: KENTUCKY
Authorized Shares: 1000

Registered Agent

Name Role
DARRYL W. DURHAM Registered Agent

Secretary

Name Role
David L Puckett Secretary

President

Name Role
Brian J Ullom President

Incorporator

Name Role
DAVID L. PUCKETT Incorporator

National Provider Identifier

NPI Number:
1437246626

Authorized Person:

Name:
BRIAN ULLOM
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
No
Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
No

Contacts:

Fax:
5024526371

Assumed Names

Name Status Expiration Date
ROUBEN'S PHARMACY Inactive 2010-08-02
TOBACCO ZONE Inactive 2010-02-28

Filings

Name File Date
Administrative Dissolution Return 2008-11-20
Administrative Dissolution 2008-11-01
Sixty Day Notice Return 2008-09-19
Statement of Change 2007-10-24
Annual Report 2007-01-17

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Sources: Kentucky Secretary of State