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VILLAGEMD CLINICALS PHARMACY KENTUCKY, LLC

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Company Details

Name: VILLAGEMD CLINICALS PHARMACY KENTUCKY, LLC
Legal type: Foreign Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 08 May 2018 (7 years ago)
Organization Date: 04 May 2018 (7 years ago)
Authority Date: 08 May 2018 (7 years ago)
Last Annual Report: 03 Jun 2022 (3 years ago)
Organization Number: 1020368
Principal Office: 125 S. CLARK STREET, SUITE 900, Chicago, IL 60603
Place of Formation: DELAWARE

Manager

Name Role
Tim Barry Manager
NATHAN PELZER Manager

Registered Agent

Name Role
KY SECRETARY OF STATE Registered Agent

Authorized Rep

Name Role
NATHAN PELZER Authorized Rep

National Provider Identifier

NPI Number:
1629559224
Certification Date:
2020-05-14

Authorized Person:

Name:
DAVID KOON
Role:
DIRECTOR OF PHARMACY
Phone:

Taxonomy:

Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
Yes

Contacts:

Filings

Name File Date
App. for Certificate of Withdrawal 2022-07-26
Annual Report 2022-06-03
Registered Agent name/address change 2021-10-28
Annual Report 2021-06-22
Annual Report 2020-06-02

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Sources: Kentucky Secretary of State