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MODERN COMPOUNDING PHARMACY, INC.

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Company Details

Name: MODERN COMPOUNDING PHARMACY, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 05 Feb 2002 (23 years ago)
Financial Date End: 28 Feb 2014
Date dissolved: 14 May 2014
Entity Number: 434131
Place of Formation: IDAHO
File Number: 0000434131
ZIP code: 83254
County: Bear Lake County
Mailing Address: 245 SOUTH 9T STREET MONTPELIER, ID 83254

National Provider Identifier

NPI Number:
1891830550

Authorized Person:

Name:
MR. HAROLD A OLSON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
3336C0004X - Compounding Pharmacy
Is Primary:
Yes

Contacts:

Fax:
2088470090

Filing

Filing Name Filing Number Filing date
Annual Report 0002846682 2013-01-17
Annual Report 0002846679 2012-01-15
Annual Report 0002846678 2010-12-13
Annual Report 0002846677 2010-01-13
Annual Report 0002846681 2008-12-15

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State