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MADISON SOUTH PHARMACY, LLC

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Company Details

Name: MADISON SOUTH PHARMACY, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 01 Nov 2007 (18 years ago)
Organization Date: 01 Nov 2007 (18 years ago)
Last Annual Report: 01 Feb 2018 (7 years ago)
Managed By: Members
Organization Number: 0677647
ZIP code: 40701
City: Corbin, Keavy, Woodbine
Primary County: Whitley County
Principal Office: 16 GREYSTONE FARM DR, CORBIN, KY 40701-9642
Place of Formation: KENTUCKY

Member

Name Role
Eric T Gibbs Member
John D Creech Jr. Member
Richard G Pojeky Member

Registered Agent

Name Role
MICKIE L. GIBBS Registered Agent

Organizer

Name Role
ROBERT L. BROWN III Organizer

National Provider Identifier

NPI Number:
1386890952

Authorized Person:

Name:
ERIC GIBBS
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
6062580003
Fax:
8592280014

Form 5500 Series

Employer Identification Number (EIN):
261305982
Plan Year:
2012
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
2
Sponsors Telephone Number:

Filings

Name File Date
Dissolution 2018-10-30
Annual Report 2018-02-01
Annual Report 2017-02-11
Registered Agent name/address change 2016-02-23
Principal Office Address Change 2016-02-23

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Sources: Kentucky Secretary of State