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RIVER FALLS PHARMACY PC

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Company Details

Name: RIVER FALLS PHARMACY PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 29 Jan 2025 (4 months ago)
Financial Date End: 31 Jan 2026
Entity Number: 6083965
Place of Formation: IDAHO
File Number: 975362
ZIP code: 83704
County: Ada County
Mailing Address: STE 120 9454 W FAIRVIEW AVE BOISE, ID 83704-0517

Agent

Name Role Address
JULIE PATTERSON Agent 9454 W FAIRVIEW AVENUE, SUITE 120, BOISE, ID 83704

National Provider Identifier

NPI Number:
1275338378
Certification Date:
2025-02-14

Authorized Person:

Name:
JOHN RICHER
Role:
COO
Phone:

Taxonomy:

Selected Taxonomy:
3336S0011X - Specialty Pharmacy
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0006083965 2025-01-29

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Date of last update: 23 May 2025

Sources: Idaho Secretary of State