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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 (a month 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

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GREAT RIVER PHARMACY CBS BENEFIT PLAN 2023 882965570 2024-04-29 GREAT RIVER PHARMACY 5
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2023-08-31
Business code 446110
Sponsor’s telephone number 2703353172
Plan sponsor’s address 409 COURT STREET, WICKLIFFE, KY, 42087

Plan administrator’s name and address

Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of

Role Plan administrator
Date 2024-04-29
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature

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

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