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Craft Pharmacy and Clinic, LLC

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Company Details

Name: Craft Pharmacy and Clinic, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 02 Oct 2021 (4 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 4432845
Place of Formation: IDAHO
File Number: 784627
ZIP code: 83201
County: Bannock County
Principal Address: TONI CANTRELL 707 N. 12TH STREET POCATELLO, ID 83201
Mailing Address: TONI CANTRELL 707 N 12TH AVE POCATELLO, ID 83201-4742

Agent

Name Role Address
Toni L Cantrell Agent 4701 CARLILE DRIVE, POCATELLO, ID 83204

Member

Name Role Address Appointed On Resigned On
TONI CANTRELL Member 707 N 12TH STREET, POCATELLO, ID 83201 2022-04-14 No data
Heidi Winder Member 707 N. 12TH STREET, POCATELLO, ID 83201 2023-10-30 2023-10-30

National Provider Identifier

NPI Number:
1023707239
Certification Date:
2023-05-03

Authorized Person:

Name:
DR. TONI CANTRELL
Role:
PHARMACIST/OWNER
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005954703 2024-10-31
Annual Report 0005452383 2023-10-30
Annual Report 0005058080 2023-01-09
Amendment to Certificate 0004697657 2022-04-14
Initial Filing 0004432845 2021-10-02

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Date of last update: 09 Jul 2025

Sources: Idaho Secretary of State