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CROSS LTC PHARMACY, LLC

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Company Details

Name: CROSS LTC PHARMACY, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 01 Aug 2013 (12 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 391116
Place of Formation: IDAHO
File Number: 391116
ZIP code: 83440
County: Madison County
Principal Address: PO BOX 186 REXBURG, ID 83440
Mailing Address: PO BOX 5 REXBURG, ID 83440-1938

Agent

Name Role Address
Ryan Rasmussen Agent 7799 S 2000 W, REXBURG, ID 83440

Manager

Name Role Address Appointed On
Ryan Rasmussen Manager 7799 S 2000 W, REXBURG, ID 83440 2020-07-17

National Provider Identifier

NPI Number:
1619306214

Authorized Person:

Name:
MR. BLAKE BUFFAT
Role:
DIRECTOR OF PHARMACY
Phone:

Taxonomy:

Selected Taxonomy:
3336L0003X - Long Term Care Pharmacy
Is Primary:
Yes

Contacts:

Fax:
2084030361

Filing

Filing Name Filing Number Filing date
Annual Report 0005855321 2024-08-12
Annual Report 0005347104 2023-08-03
Annual Report 0004825284 2022-07-18
Annual Report 0004360294 2021-07-28
Annual Report 0003942165 2020-07-17

USAspending Awards / Financial Assistance

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:
37500.00
Total Face Value Of Loan:
37500.00

Paycheck Protection Program

Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
37500
Current Approval Amount:
37500
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
37863.7

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Date of last update: 04 Jun 2025

Sources: Idaho Secretary of State