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BEAR LAKE DRUG, LLC

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Company Details

Name: BEAR LAKE DRUG, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 19 May 2014 (11 years ago)
Financial Date End: 31 May 2026
Entity Number: 421106
Place of Formation: IDAHO
File Number: 421106
ZIP code: 83254
County: Bear Lake County
Principal Address: 836 WASHINGTON ST MONTPELIER, ID 83254
Mailing Address: 836 WASHINGTON ST MONTPELIER, ID 83254-1423

Agent

Name Role Address
CASEY C HUMPHERYS Agent 836 WASHINGTON ST, MONTPELIER, ID 83254

Manager

Name Role Address Appointed On
Casey Humpherys Manager 836 WASHINGTON, MONTPELIER, ID 83254 2020-08-05

National Provider Identifier

NPI Number:
1861806820

Authorized Person:

Name:
CASEY HUMPHERYS
Role:
PHARMD
Phone:

Taxonomy:

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

Contacts:

Fax:
2088471690

Filing

Filing Name Filing Number Filing date
Annual Report 0006206757 2025-04-14
Annual Report 0005767388 2024-06-09
Annual Report 0005253600 2023-05-30
Annual Report 0004723447 2022-05-03
Annual Report 0004309528 2021-06-08

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$24,110
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$24,110
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$24,334.59
Servicing Lender:
Ireland Bank
Use of Proceeds:
Payroll: $23,110
Utilities: $1,000

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Date of last update: 30 Jun 2025

Sources: Idaho Secretary of State