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MACON CITY DRUG STORE, INC.

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Company Details

Name: MACON CITY DRUG STORE, INC.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 15 Mar 1988 (37 years ago)
Business ID: 552058
ZIP code: 39341
County: Noxubee
State of Incorporation: MISSISSIPPI
Principal Office Address: 3281 Jefferson Street, PO Box 424Macon, MS 39341

Agent

Name Role Address
Kristin M Tawater Agent 3281 Jefferson Street, PO Box 424, Macon, MS 39341

Incorporator

Name Role Address
William J Bell Jr Incorporator 314 South Jefferson St, Macon, MS 39341

Director

Name Role Address
Kristin M Tawater Director 3281 Jefferson St., PO Box 424, Macon, MS 39341

Vice President

Name Role Address
William J Bell Vice President 3281 Jefferson St, PO Box 424, Macon, MS 39341

President

Name Role Address
Kristin M Tawater President 3281 Jefferson St., PO Box 424, Macon, MS 39341

National Provider Identifier

NPI Number:
1912104415
Certification Date:
2024-01-26

Authorized Person:

Name:
BECKY GENE WATT
Role:
DME PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
3336L0003X - Long Term Care Pharmacy
Is Primary:
No
Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
6627265183

Filings

Type Status Filed Date Description
Annual Report Filed 2025-01-16 Annual Report For MACON CITY DRUG STORE, INC.
Amendment Form Filed 2024-10-20 Amendment For MACON CITY DRUG STORE, INC.
Annual Report Filed 2024-10-18 Annual Report For MACON CITY DRUG STORE, INC.
Annual Report Filed 2024-01-19 Annual Report For MACON CITY DRUG STORE, INC.
Annual Report Filed 2023-02-21 Annual Report For MACON CITY DRUG STORE, INC.
Amendment Form Filed 2022-11-17 Amendment For MACON CITY DRUG STORE, INC.
Annual Report Filed 2022-03-15 Annual Report For MACON CITY DRUG STORE, INC.
Annual Report Filed 2021-03-05 Annual Report For MACON CITY DRUG STORE, INC.
Annual Report Filed 2020-03-17 Annual Report For MACON CITY DRUG STORE, INC.
Annual Report Filed 2019-03-22 Annual Report For MACON CITY DRUG STORE, INC.

USAspending Awards / Financial Assistance

Date:
2020-04-11
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
130620.00
Total Face Value Of Loan:
130620.00

Paycheck Protection Program

Date Approved:
2020-04-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
130620
Current Approval Amount:
130620
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
131712.13

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Date of last update: 20 Apr 2025

Sources: Mississippi Secretary of State