CASTLE ROCK PHARMACY, INC.

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Company Details

Legal Name:	CASTLE ROCK PHARMACY, INC.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFIT CORPORATION
Category:	DOMESTIC ENTITY
Status:	Delinquent
Formation/ Registration Date:	June 25th 1979
Expiration date:	30 Jun 2025
UBI Number:	600 338 898
ZIP code:	98611
City:	Castle Rock
County:	COWLITZ
Home State:	WASHINGTON
Principal Office Street Address:	117 SW 1ST AVE, CASTLE ROCK, WA, 98611, UNITED STATES
Principal Office Mailing Address:	PO BOX 188, CASTLE ROCK, WA, 98611-0188, UNITED STATES

Contact Details

E-Mail:	CASTLEROCKPHARMACY@GMAIL.COM
Phone Number:	+1 801-318-6238

Nature of Business

Retail

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Registered Agent Information

Name	Role	Address
JONATHON RODEBACK	Registered Agent	117 1ST AVE SW, CASTLE ROCK, WA, 98611-0009, UNITED STATES

Key Officers & Management

Name	Role
JONATHON RODEBACK	Governing Person

National Provider Identifier

NPI Number:

1306857800

Certification Date:

2022-06-17

Link:

View on NPI website

Authorized Person:

Name:

JONATHON RODEBACK

Role:

OWNER

Phone:

3602748211

Taxonomy:

Selected Taxonomy:

333600000X - Pharmacy

Is Primary:

No

Selected Taxonomy:

3336C0003X - Community/Retail Pharmacy

Is Primary:

Yes

Contacts:

Phone:

+1 360-274-8211

Fax:

3602747825

Form 5500 Series

Employer Identification Number (EIN):

911086126

Plan Year:

2022

Number Of Participants:

6

Sponsor's telephone number:

3602748211

File:

Plan Administrator / Signatory:

JONATHON RODEBACK(Plan administrator)

Plan Year:

2021

Number Of Participants:

6

Sponsor's telephone number:

3602748211

File:

Plan Administrator / Signatory:

JONATHON RODEBACK(Plan administrator)

Plan Year:

2020

Number Of Participants:

6

Sponsor's telephone number:

3602748211

File:

Plan Administrator / Signatory:

JONATHON RODEBACK(Plan administrator)

Plan Year:

2019

Number Of Participants:

7

Sponsor's telephone number:

3602748211

File:

Plan Administrator / Signatory:

JONATHON RODEBACK(Plan administrator)

Plan Year:

2018

Number Of Participants:

7

Sponsor's telephone number:

3602748211

File:

Plan Administrator / Signatory:

JILL RODEBACK(Plan administrator)

Paycheck Protection Program

Jobs Reported:

6

Initial Approval Amount:

$83,256

Date Approved:

2020-04-13

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$83,256

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$84,218.58

Servicing Lender:

Heritage Bank

Use of Proceeds:

Payroll: $83,256

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