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Four Pillars Nutrition and Wellness LLC

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Company Details

Name: Four Pillars Nutrition and Wellness LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 26 Jul 2023 (2 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 5332256
Place of Formation: IDAHO
File Number: 890489
ZIP code: 83201
County: Bannock County
Principal Address: SARA POULSEN, RDN, LD 147 STANFORD AVE. POCATELLO, ID 83201
Mailing Address: SARA POULSEN, RDN, LD 147 STANFORD AVE POCATELLO, ID 83201

Agent

Name Role Address
Jake D Poulsen Agent 305 N 3RD AVE, SUITE A, POCATELLO, ID 83201

Member

Name Role Address Appointed On
Sara E Poulsen RDN, LD Member 147 STANFORD AVE., POCATELLO, ID 83201 2024-07-31

National Provider Identifier

NPI Number:
1477333599
Certification Date:
2023-10-05

Authorized Person:

Name:
SARA POULSEN
Role:
REGISTERED DIETITIAN AND OWNER
Phone:

Taxonomy:

Selected Taxonomy:
133V00000X - Registered Dietitian
Is Primary:
Yes

Contacts:

Fax:
2086464394

Filing

Filing Name Filing Number Filing date
Annual Report 0005833898 2024-07-31
Initial Filing 0005332256 2023-07-26

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Date of last update: 20 Jun 2025

Sources: Idaho Secretary of State