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JACK'S PHARMACY INCORPORATED

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Company Details

Name: JACK'S PHARMACY INCORPORATED
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 13 Feb 1979 (46 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 192541
Place of Formation: IDAHO
File Number: 192541
ZIP code: 83861
County: Benewah County
Mailing Address: 103 E COLLEGE AVE ST MARIES, ID 83861-2247

President

Name Role Address Appointed On Resigned On
Sally L Darley President 13403 NORTH GOVERNMENT WAY, HAYDEN, ID 83835 2021-02-17 2024-02-20
Sally L Payne President 13403 NORTH GOVERNMENT WAY, HAYDEN, ID 83835 2024-02-20 No data

Director

Name Role Address Appointed On Resigned On
Benjamin R Potter Director 13403 NORTH GOVERNMENT WAY, HAYDEN, ID 83835 2024-02-20 2024-02-20

Agent

Name Role Address
PotterBulwark Inc. Agent 13403 NORTH GOVERNMENT WAY, 217, HAYDEN, ID 83835

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
LVPMWJFZG9K3
CAGE Code:
8GZS0
UEI Expiration Date:
2022-01-27

Business Information

Doing Business As:
GOOD NEIGHBOR PHARMACY
Activation Date:
2021-02-03
Initial Registration Date:
2020-02-07

Form 5500 Series

Employer Identification Number (EIN):
820347008
Plan Year:
2020
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
12
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006158395 2025-03-12
Annual Report 0005608229 2024-02-20
Annual Report 0005124517 2023-02-24
Annual Report 0004551061 2022-01-03
Annual Report 0004176487 2021-02-17

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Date of last update: 29 May 2025

Sources: Idaho Secretary of State