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PEARL PRIMARY CARE PLLC

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Company Details

Name: PEARL PRIMARY CARE PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 13 Jun 2018 (7 years ago)
Financial Date End: 30 Jun 2022
Date dissolved: 15 Sep 2022
Entity Number: 613777
Place of Formation: IDAHO
File Number: 613777
ZIP code: 83406
County: Bonneville County
Principal Address: 2705 E 17TH ST STE B AMMON, ID 83406
Mailing Address: STE B 2705 E 17TH ST AMMON, ID 83406-6601

Agent

Name Role Address
ZAKERY WARREN Agent 2705 E 17TH ST STE B, AMMON, ID 83406

Manager

Name Role Address Appointed On
Zakery Warren Manager 2705 E 17TH STREET, AMMON, ID 83406 2020-07-07

National Provider Identifier

NPI Number:
1720561103

Authorized Person:

Name:
MR. ZAKERY WARREN
Role:
OWNER/DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2083467501

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0004914096 2022-09-15
Annual Report 0004328111 2021-06-30
Annual Report 0003933894 2020-07-07
Annual Report 0003553756 2019-06-27
Initial Filing 0000613777 2018-06-13

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Date of last update: 05 Jul 2025

Sources: Idaho Secretary of State