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Great River Pharmacy, LLC

Company Details

Name: Great River Pharmacy, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 23 Jun 2022 (3 years ago)
Organization Date: 23 Jun 2022 (3 years ago)
Last Annual Report: 16 Mar 2025 (3 months ago)
Managed By: Members
Organization Number: 1216306
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42087
City: Wickliffe, Blandville
Primary County: Ballard County
Principal Office: 451 COURT STREET, WICKLIFFE, KY 42087
Place of Formation: KENTUCKY

Registered Agent

Name Role
DENTON LAW FIRM , PLLC Registered Agent

Member

Name Role
ANDREW LOGSDON Member
KENDRA NICHOLE LOGSDON Member

Organizer

Name Role
Andrew Logsdon Organizer

National Provider Identifier

NPI Number:
1700519725
Certification Date:
2023-09-18

Authorized Person:

Name:
DR. ANDREW LOGSDON
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
882965570
Plan Year:
2023
Number Of Participants:
5
Sponsors Telephone Number:

Filings

Name File Date
Annual Report 2025-03-16
Annual Report 2024-06-03
Principal Office Address Change 2023-09-25
Annual Report 2023-03-30

Sources: Kentucky Secretary of State