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MEDICINE MAN BONNERS FERRY PHARMACY, LLC

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Company Details

Name: MEDICINE MAN BONNERS FERRY PHARMACY, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 15 Jan 2014 (11 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 406992
Place of Formation: IDAHO
File Number: 406992
ZIP code: 83805
County: Boundary County
Principal Address: 6452 MAIN ST BONNERS FERRY, ID 83805
Mailing Address: 6452 MAIN ST BONNERS FERRY, ID 83805-8520

Agent

Name Role Address
SHANE STUERMER Agent 6452 MAIN STREET, BONNERS FERRY, ID 83805

Member

Name Role Address Appointed On Resigned On
Shane Stuermer Member 6452 MAIN ST, BONNERS FERRY, ID 83805 2020-12-04 No data
Aimee Stuermer Member 6452 MAIN STREET, BONNERS FERRY, ID 83805 2023-12-04 2023-12-04

National Provider Identifier

NPI Number:
1578826178
Certification Date:
2024-05-23

Authorized Person:

Name:
AIMEE STUERMER
Role:
CO-OWNER
Phone:

Taxonomy:

Selected Taxonomy:
3336C0004X - Compounding Pharmacy
Is Primary:
No
Selected Taxonomy:
3336L0003X - Long Term Care Pharmacy
Is Primary:
No
Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Fax:
2082674024

Filing

Filing Name Filing Number Filing date
Annual Report 0006003492 2024-12-03
Annual Report 0005498816 2023-12-04
Annual Report 0005013230 2022-12-05
Annual Report 0004522736 2021-12-08
Annual Report 0004088880 2020-12-04

USAspending Awards / Financial Assistance

Date:
2020-04-29
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:
17065.00
Total Face Value Of Loan:
17065.00

Paycheck Protection Program

Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
17065
Current Approval Amount:
17065
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
17170.2

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Date of last update: 04 Jun 2025

Sources: Idaho Secretary of State