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WALLACE PHARMACY, INC.

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Company Details

Name: WALLACE PHARMACY, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 02 Jan 1996 (29 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 348464
Place of Formation: IDAHO
File Number: 348464
ZIP code: 83210
County: Bingham County
Mailing Address: PO BOX 841 ABERDEEN, ID 83210-0841

Agent

Name Role Address
DWIGHT D WALLACE Agent 44 S. MAIN, ABERDEEN, ID 83210

Secretary

Name Role Address Appointed On
Misty Wallace Secretary 44 S. MAIN, ABERDEEN, ID 83210 2020-12-03

National Provider Identifier

NPI Number:
1710038716

Authorized Person:

Name:
DWIGHT WALLACE
Role:
CEO/PIC
Phone:

Taxonomy:

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

Contacts:

Fax:
2083975215

Filing

Filing Name Filing Number Filing date
Annual Report 0006008674 2024-12-05
Annual Report 0005501266 2023-12-05
Annual Report 0005016480 2022-12-06
Annual Report 0004514546 2021-12-03
Annual Report 0004087476 2020-12-03

USAspending Awards / Financial Assistance

Date:
2020-04-14
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:
35672.00
Total Face Value Of Loan:
35672.00

Paycheck Protection Program

Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
35672
Current Approval Amount:
35672
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
35927.08

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Date of last update: 02 Jun 2025

Sources: Idaho Secretary of State