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TAMARACK PHARMACY LLC

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Company Details

Name: TAMARACK PHARMACY LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 11 Jul 2024 (a year ago)
Financial Date End: 31 Jul 2025
Entity Number: 5817169
Place of Formation: IDAHO
File Number: 945510
ZIP code: 83814
County: Kootenai County
Principal Address: TYLER YOUNG 6057 E ALINA DR COEUR D ALENE, ID 83814
Mailing Address: TYLER YOUNG 6057 E ALINA DR COEUR D ALENE, ID 83814-2141

Agent

Name Role Address
TYLER YOUNG Agent 6057 E ALINA DR, COEUR D ALENE, ID 83814

National Provider Identifier

NPI Number:
1659187383
Certification Date:
2025-03-10

Authorized Person:

Name:
JEFFREY HARRELL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
No
Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Fax:
2084574122

Filing

Filing Name Filing Number Filing date
Initial Filing 0005817169 2024-07-11

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Date of last update: 23 May 2025

Sources: Idaho Secretary of State