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Mike's LTC Pharmacy, LLC

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Company Details

Name: Mike's LTC Pharmacy, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 09 Apr 2025 (2 months ago)
Financial Date End: 30 Apr 2026
Entity Number: 6202064
Place of Formation: IDAHO
File Number: 987736
ZIP code: 83401
County: Bonneville County
Principal Address: STE. B 180 S HOLMES AVE IDAHO FALLS, ID 83401
Mailing Address: STE B 180 S HOLMES AVE IDAHO FALLS, ID 83401-3945

Agent

Name Role Address
Justin Merrill Agent 180 S HOLMES AVE, STE B, IDAHO FALLS, ID 83401-3945

National Provider Identifier

NPI Number:
1972398063
Certification Date:
2025-04-10

Authorized Person:

Name:
JUSTIN MERRILL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
3336L0003X - Long Term Care Pharmacy
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0006202064 2025-04-09

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Date of last update: 24 May 2025

Sources: Idaho Secretary of State