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CORUM FAMILY PHARMACY LLC

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Company Details

Name: CORUM FAMILY PHARMACY LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 25 Jan 2013 (12 years ago)
Organization Date: 25 Jan 2013 (12 years ago)
Last Annual Report: 14 Nov 2017 (8 years ago)
Managed By: Members
Organization Number: 0848219
ZIP code: 40962
City: Manchester, Bluehole, Bright Shade, Chestnutburg, Er...
Primary County: Clay County
Principal Office: 1668 SOUTH HIGHWAY 421, MANCHESTER, KY 40962
Place of Formation: KENTUCKY

Member

Name Role
CHAD C CORUM Member
RANDY WINDHAM Member

Organizer

Name Role
RANDY WINDHAM Organizer

Registered Agent

Name Role
RANDY WINDHAM Registered Agent

National Provider Identifier

NPI Number:
1154661650

Authorized Person:

Name:
RANDY WINDHAM
Role:
OWNER/PHARMACIST
Phone:

Taxonomy:

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

Contacts:

Fax:
6065990508

Filings

Name File Date
Administrative Dissolution Return 2018-11-13
Administrative Dissolution 2018-10-16
Sixty Day Notice Return 2018-09-27
Reinstatement 2017-11-14
Reinstatement Certificate of Existence 2017-11-14

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Sources: Kentucky Secretary of State