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PRESCRIPTION COMPOUNDING SHOPPE, INC.

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Company Details

Name: PRESCRIPTION COMPOUNDING SHOPPE, INC.
Legal type: Kentucky Corporation
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 06 Jul 2000 (25 years ago)
Organization Date: 06 Jul 2000 (25 years ago)
Last Annual Report: 29 Jun 2021 (4 years ago)
Organization Number: 0497335
ZIP code: 42718
City: Campbellsville, Campbellsvlle, Finley
Primary County: Taylor County
Principal Office: 327 E. BROADWAY, CAMPBELLSVILLE, KY 42718
Place of Formation: KENTUCKY
Authorized Shares: 100

President

Name Role
Edward L Baise President

Incorporator

Name Role
EDWARD L. BAISE Incorporator

Registered Agent

Name Role
EDWARD L. BAISE Registered Agent

National Provider Identifier

NPI Number:
1679733034

Authorized Person:

Name:
EDWARD BAISE
Role:
PHARMACIST
Phone:

Taxonomy:

Selected Taxonomy:
3336C0004X - Compounding Pharmacy
Is Primary:
Yes

Contacts:

Fax:
2707893784

Filings

Name File Date
Administrative Dissolution 2022-10-04
Annual Report 2021-06-29
Annual Report 2020-06-29
Annual Report 2019-06-25
Annual Report 2018-06-11

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Sources: Kentucky Secretary of State