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Clearwater Canyon Pharmacy, LLC

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Company Details

Name: Clearwater Canyon Pharmacy, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 14 Jan 2019 (6 years ago)
Financial Date End: 31 Jan 2025
Date dissolved: 26 Apr 2025
Entity Number: 3396945
Place of Formation: IDAHO
File Number: 650437
Principal Address: ANDY POTTENGER 2034 CRESTVIEW DRIVE CLARKSTON, WA 99403
Mailing Address: ANDY POTTENGER 13020 HIGHWAY 12 OROFINO, ID 83544-9330

Agent

Name Role Address
ANDREW POTTENGER Agent 523 THAIN ROAD, LEWISTON, ID 83501

National Provider Identifier

NPI Number:
1598229809

Authorized Person:

Name:
CHARLES ANDREW POTTENGER
Role:
OWNER/PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Fax:
2087430333
Fax:
2084760115

Filing

Filing Name Filing Number Filing date
Annual Report 0005537333 2024-01-03
Annual Report 0005046561 2023-01-03
Annual Report 0004549556 2022-01-03
Annual Report 0004197324 2021-03-04
Annual Report 0003724546 2020-01-01

USAspending Awards / Financial Assistance

Date:
2020-05-22
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
7000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-05-20
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
94800.00
Total Face Value Of Loan:
459600.00
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:
57800.00
Total Face Value Of Loan:
57800.00
Date:
2019-04-16
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
600000.00
Total Face Value Of Loan:
600000.00

Paycheck Protection Program

Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
57800
Current Approval Amount:
57800
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
58387.5

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Date of last update: 17 May 2025

Sources: Idaho Secretary of State