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Guardian Pharmacy of Idaho Falls, LLC

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Company Details

Name: Guardian Pharmacy of Idaho Falls, LLC
Jurisdiction: Idaho
Legal type: Foreign Limited Liability Company
Status: Active-Existing
Date of registration: 07 Sep 2023 (2 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 5388393
Place of Formation: GEORGIA
File Number: 897140
Principal Address: SUITE 800 300 GALLERIA PARKWAY SE ATLANTA, GA 30339

Agent

Name Role Address
REGISTERED AGENT SOLUTIONS, INC. Agent 1555 W SHORELINE DR, STE 100, BOISE, ID 83702

Manager

Name Role Address Appointed On
David Morris Manager 300 GALLERIA PARKWAY SE, ATLANTA, GA 30339 2024-09-27

National Provider Identifier

NPI Number:
1639920051
Certification Date:
2024-08-02

Authorized Person:

Name:
REECE CHRISTENSEN
Role:
PRESIDENT/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
No
Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
No
Selected Taxonomy:
3336C0004X - Compounding Pharmacy
Is Primary:
No
Selected Taxonomy:
3336L0003X - Long Term Care Pharmacy
Is Primary:
Yes

Contacts:

Fax:
2085522103
Fax:
2085522098

Filing

Filing Name Filing Number Filing date
Annual Report 0005913336 2024-09-27
Initial Filing 0005388393 2023-09-07

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Date of last update: 21 May 2025

Sources: Idaho Secretary of State