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SAM'S PROFESSIONAL PHARMACY, INC.

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Company Details

Name: SAM'S PROFESSIONAL PHARMACY, INC.
Legal type: Kentucky Corporation
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 17 Aug 2004 (21 years ago)
Organization Date: 17 Aug 2004 (21 years ago)
Last Annual Report: 15 Sep 2014 (11 years ago)
Organization Number: 0592717
ZIP code: 40906
City: Barbourville, Bailey Switch, Baughman, Crane Nest, Gau...
Primary County: Knox County
Principal Office: PO BOX 1766, BARBOURVILLE, KY 40906
Place of Formation: KENTUCKY
Authorized Shares: 100

Registered Agent

Name Role
SAMUEL DEWAYNE MOORE Registered Agent

President

Name Role
SAMUEL D MOORE President

Secretary

Name Role
CHARLES T TENHET Secretary

Treasurer

Name Role
CHARLES T TENHET Treasurer

Director

Name Role
SAMUEL D MOORE Director
CHARLES T TENHET Director

Incorporator

Name Role
SAMUEL DEWAYNE MOORE Incorporator

National Provider Identifier

NPI Number:
1497828578

Authorized Person:

Name:
MR. SAMUEL MOORE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
No
Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
Yes

Contacts:

Fax:
6065463928

Filings

Name File Date
Administrative Dissolution Return 2015-10-12
Administrative Dissolution 2015-09-12
Annual Report 2014-09-15
Annual Report 2013-06-30
Annual Report 2012-06-30

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Sources: Kentucky Secretary of State