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Rocky Mountain Pharmacy LLC

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Company Details

Name: Rocky Mountain Pharmacy LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 21 Jun 2019 (6 years ago)
Financial Date End: 30 Jun 2025
Entity Number: 3548889
Place of Formation: IDAHO
File Number: 670871
ZIP code: 83404
County: Bonneville County
Principal Address: STE. B 3910 WASHINGTON PARKWAY IDAHO FALLS, ID 83404
Mailing Address: 955 PIER VIEW DR IDAHO FALLS, ID 83402-4918

Agent

Name Role Address
GUARDIAN REGISTERED AGENTS LLC Agent 955 PIER VIEW DR, IDAHO FALLS, ID 83402

Manager

Name Role Address Appointed On
David Liljenquist Manager 3910 WASHINGTON PARKWAY, STE B, IDAHO FALLS, ID 83404 2020-06-30
Carl Vance Manager 3910 WASHINGTON PARKWAY, STE B, IDAHO FALLS, ID 83404 2023-06-29

National Provider Identifier

NPI Number:
1851923544
Certification Date:
2021-08-09

Authorized Person:

Name:
TROY COULSON
Role:
PHARMACIST IN CHARGE
Phone:

Taxonomy:

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

Contacts:

Fax:
2085224772

Filing

Filing Name Filing Number Filing date
Annual Report 0005789424 2024-06-26
Annual Report 0005296512 2023-06-29
Annual Report 0004797112 2022-06-29
Annual Report 0004324347 2021-06-24
Annual Report 0003918888 2020-06-30

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Date of last update: 17 May 2025

Sources: Idaho Secretary of State