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BLACKLOG APOTHECARY, INC.

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Company Details

Name: BLACKLOG APOTHECARY, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 27 Feb 1997 (28 years ago)
Organization Date: 27 Feb 1997 (28 years ago)
Last Annual Report: 30 May 2024 (a year ago)
Organization Number: 0429230
Industry: Miscellaneous Retail
Number of Employees: Small (0-19)
ZIP code: 41224
City: Inez, Job, Threeforks
Primary County: Martin County
Principal Office: 62 Kirk Plaza, INEZ, KY 41224
Place of Formation: KENTUCKY
Authorized Shares: 1000

Registered Agent

Name Role
RANDALL B CHAFFIN Registered Agent

President

Name Role
Randall B. Chaffin President

Secretary

Name Role
Anita G. Chaffin Secretary

Director

Name Role
Randall B. Chaffin Director

Incorporator

Name Role
RANDALL B CHAFFIN R.PH Incorporator
DONALD L CHAFFIN MD Incorporator

National Provider Identifier

NPI Number:
1831235480
Certification Date:
2020-10-30

Authorized Person:

Name:
RANDALL BERRY CHAFFIN
Role:
OWNER PHARMACIST
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
No
Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
No
Selected Taxonomy:
3336C0004X - Compounding Pharmacy
Is Primary:
No
Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Fax:
6062984975

Filings

Name File Date
Annual Report 2024-05-30
Principal Office Address Change 2024-05-30
Registered Agent name/address change 2024-05-30
Annual Report 2023-06-22
Annual Report 2022-04-06

USAspending Awards / Financial Assistance

Date:
2020-04-11
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
53800.00
Total Face Value Of Loan:
53800.00

Paycheck Protection Program

Date Approved:
2020-04-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
53800
Current Approval Amount:
53800
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
54301.15

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Sources: Kentucky Secretary of State