Search icon

TETON PHARMACY OF ST. ANTHONY, LLC

Company claim

Is this your business?

Get access!

Company Details

Name: TETON PHARMACY OF ST. ANTHONY, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 02 Jul 2017 (8 years ago)
Financial Date End: 31 Jul 2023
Date dissolved: 04 Oct 2023
Entity Number: 560022
Place of Formation: IDAHO
File Number: 560022
ZIP code: 83404
County: Bonneville County
Principal Address: 2470 JAFER CT IDAHO FALLS, ID 83404
Mailing Address: 2470 JAFER CT IDAHO FALLS, ID 83404-5587

Agent

Name Role Address
Philip Harper Agent 2470 JAFER CT, IDAHO FALLS, ID 83404

Manager

Name Role Address Appointed On
Philip Harper Manager 2470 JAFER CT., IDAHO FALLS, ID 83404 2020-07-31

National Provider Identifier

NPI Number:
1932635810

Authorized Person:

Name:
JASON BAILEY
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2086244412

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005426669 2023-10-04
Annual Report 0004867107 2022-08-22
Annual Report 0004362011 2021-07-30
Annual Report 0003951513 2020-07-31
Annual Report 0003571971 2019-07-17

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 14 May 2025

Sources: Idaho Secretary of State