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LAKE CUMBERLAND PHARMACY, LLC

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Company Details

Name: LAKE CUMBERLAND PHARMACY, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 25 Aug 2010 (15 years ago)
Organization Date: 25 Aug 2010 (15 years ago)
Last Annual Report: 20 Feb 2025 (4 months ago)
Managed By: Members
Organization Number: 0769915
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42642
City: Russell Springs, Russell Spgs, Webbs Cross Roads, Webbs X...
Primary County: Russell County
Principal Office: PO BOX 72 , RUSSELL SPRINGS, KY 42642
Place of Formation: KENTUCKY

Registered Agent

Name Role
JONATHAN GRIDER Registered Agent

Organizer

Name Role
JONATHAN GRIDER Organizer

Member

Name Role
JONATHAN BECK GRIDER Member

National Provider Identifier

NPI Number:
1912201906
Certification Date:
2022-10-07

Authorized Person:

Name:
JONATHAN GRIDER
Role:
MANAGING MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
332BP3500X - Parenteral & Enteral Nutrition Supplies (DME)
Is Primary:
No
Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
No
Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Fax:
2708666566

Filings

Name File Date
Annual Report 2025-02-20
Annual Report 2024-05-22
Annual Report 2023-06-02
Annual Report 2022-08-08
Annual Report 2021-05-13

USAspending Awards / Financial Assistance

Date:
2020-04-07
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:
112079.00
Total Face Value Of Loan:
112079.00

Paycheck Protection Program

Date Approved:
2020-04-05
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
112079
Current Approval Amount:
112079
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
112776.38

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Sources: Kentucky Secretary of State