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MEDICAL CLINIC PHARMACY, INC.

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Company Details

Name: MEDICAL CLINIC PHARMACY, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 27 Aug 1963 (62 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 117046
Place of Formation: IDAHO
File Number: 117046
ZIP code: 83605
County: Canyon County
Mailing Address: STE 150 315 E ELM ST CALDWELL, ID 83605-4864

Agent

Name Role Address
TYLER HIGGINS Agent 1024 BIG CREEK CIR, NAMPA, ID 83686

Vice President

Name Role Address Appointed On
Lori Higgins Vice President 1024 BIG CREEK CIRCLE, NAMPA, ID 83686 2023-07-05

President

Name Role Address Appointed On
Tyler Higgins President 1024 BIG CREEK CIRCLE, NAMPA, ID 83686 2020-08-23

U.S. Small Business Administration Profile

Phone Number:
Fax Number:
208-459-1504
Contact Person:
TYLER HIGGINS
User ID:
P2882777

Unique Entity ID

Unique Entity ID:
LAYMUX6MBK83
CAGE Code:
7YJ93
UEI Expiration Date:
2026-04-01

Business Information

Division Name:
MEDICAL CLINIC PHARMACY, INC.
Activation Date:
2025-04-03
Initial Registration Date:
2017-10-16

Commercial and government entity program

CAGE number:
7YJ93
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-04-03
CAGE Expiration:
2030-04-03
SAM Expiration:
2026-04-01

Contact Information

POC:
TYLER HIGGINS
Corporate URL:
www.medicalclinicpharmacy.com

National Provider Identifier

NPI Number:
1962581652

Authorized Person:

Name:
TYLER HIGGINS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
3336C0004X - Compounding Pharmacy
Is Primary:
No
Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
No
Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Fax:
2084591504

Filing

Filing Name Filing Number Filing date
Annual Report 0005834678 2024-08-01
Annual Report 0005303624 2023-07-05
Annual Report 0004851137 2022-08-06
Annual Report 0004349627 2021-07-14
Annual Report 0003977731 2020-08-23

USAspending Awards / Financial Assistance

Date:
2020-04-27
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:
125121.57
Total Face Value Of Loan:
125121.57

Paycheck Protection Program

Jobs Reported:
9
Initial Approval Amount:
$125,121.57
Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$125,121.57
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$126,674.45
Servicing Lender:
Umpqua Bank
Use of Proceeds:
Payroll: $125,121.57

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Date of last update: 15 Jul 2025

Sources: Idaho Secretary of State