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Bushong Family Pharmacy, LLC

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Company Details

Name: Bushong Family Pharmacy, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 12 Jan 2015 (11 years ago)
Organization Date: 12 Jan 2015 (11 years ago)
Last Annual Report: 29 Mar 2024 (a year ago)
Managed By: Members
Organization Number: 0907146
Industry: Miscellaneous Retail
Number of Employees: Small (0-19)
ZIP code: 42167
City: Tompkinsville, T Ville
Primary County: Monroe County
Principal Office: 709 N Main St, Tompkinsville, KY 42167
Place of Formation: KENTUCKY

Registered Agent

Name Role
MARY COURTNEY BUSHONG Registered Agent

Member

Name Role
MARY C BUSHONG Member

Organizer

Name Role
Stephanie Jade Fricks Organizer
John W Bushong Organizer

National Provider Identifier

NPI Number:
1023564747
Certification Date:
2020-09-01

Authorized Person:

Name:
MARY COURTNEY BUSHONG
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
No
Selected Taxonomy:
332BC3200X - Customized Equipment (DME)
Is Primary:
No
Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
No
Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
No
Selected Taxonomy:
3336L0003X - Long Term Care Pharmacy
Is Primary:
No
Selected Taxonomy:
3336S0011X - Specialty Pharmacy
Is Primary:
No
Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
Yes

Contacts:

Fax:
2704075051

Filings

Name File Date
Annual Report 2024-03-29
Annual Report 2023-05-03
Annual Report 2022-06-27
Annual Report 2021-03-02
Annual Report 2020-02-18

USAspending Awards / Financial Assistance

Date:
2020-04-28
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:
49857.00
Total Face Value Of Loan:
49857.00

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$49,857
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$49,857
Race:
White
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$50,322.33
Servicing Lender:
South Central Bank, Inc.
Use of Proceeds:
Payroll: $49,857

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Contracts

Branch Contract Id Procurement Type Begin Date End Date Amount
Executive 2000007466 Standard Goods and Services - - 5000
Department Behavioral Health, Developmental & Intellectual Disabilities
Category (345) FIRST AID AND SAFETY EQUIPMENT AND SUPPLIES (EXCEPT NUCLEAR
Authorization Small Purchase-Goods and Services

Sources: Kentucky Secretary of State