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WELL LIFE PHARMACY, INCORPORATED

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Company Details

Name: WELL LIFE PHARMACY, INCORPORATED
Jurisdiction: Idaho
Legal type: Foreign Business Corporation
Status: Inactive-Revoked (Administrative)
Date of registration: 11 Mar 2015 (10 years ago)
Financial Date End: 31 Mar 2020
Date dissolved: 04 Jun 2020
Entity Number: 618540
Place of Formation: WASHINGTON
File Number: 618540
ZIP code: 83805
County: Boundary County
Principal Address: 2718 PARKER CANYON RD BONNERS FERRY, ID 83805
Mailing Address: 2718 PARKER CANYON RD BONNERS FERRY, ID 83805-6036

National Provider Identifier

NPI Number:
1598868770

Authorized Person:

Name:
JEFFREY FOSTER
Role:
OWNER AND PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
3336C0004X - Compounding Pharmacy
Is Primary:
No
Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
No
Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Fax:
2082678085
Fax:
2087736309

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0003898404 2020-06-04
Annual Report 0003547593 2019-06-20
Annual Report 0003288008 2018-03-19
Annual Report 0003288007 2017-01-24
Annual Report 0003288006 2016-01-18

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Date of last update: 16 May 2025

Sources: Idaho Secretary of State