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LADD FAMILY PHARMACY, LLC

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Company Details

Name: LADD FAMILY PHARMACY, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 27 Feb 2015 (10 years ago)
Financial Date End: 28 Feb 2021
Date dissolved: 05 May 2021
Entity Number: 451209
Place of Formation: IDAHO
File Number: 451209
ZIP code: 83706
County: Ada County
Principal Address: 1109 S BROADWAY AVE BOISE, ID 83706
Mailing Address: 1109 S BROADWAY AVE BOISE, ID 83706-3626

Agent

Name Role Address
Darci Duker Agent 372 SOUTH EAGLE ROAD, # 368, EAGLE, ID 83616

National Provider Identifier

NPI Number:
1679082945

Authorized Person:

Name:
JEREMY LUNDEVALL
Role:
C.O.O
Phone:

Taxonomy:

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

Contacts:

Fax:
2089470874

Form 5500 Series

Employer Identification Number (EIN):
262099207
Plan Year:
2020
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
20
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0004271958 2021-05-05
Change of Registered Office/Agent/Both (by Entity) 0003938484 2020-07-14
Annual Report 0003749718 2020-01-18
Annual Report 0003411469 2019-01-25
Annual Report 0002908483 2018-01-16

USAspending Awards / Financial Assistance

Date:
2014-12-12
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00

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Date of last update: 01 Jul 2025

Sources: Idaho Secretary of State