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CENTRALIA PHARMACY GROUP, INC.

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Company Details

Legal Name: CENTRALIA PHARMACY GROUP, INC.
Jurisdiction: WASHINGTON
Entity Type: WA PROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 26th 2017
Expiration date: 31 Jan 2026
UBI Number: 604 083 490
ZIP code: 98531
City: Centralia
County: LEWIS
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 417 S TOWER AVE, CENTRALIA, WA, 98531, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX B, ILWACO, WA, 98624-0167, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $50,632

Contact Details

E-Mail: JEFF@PENPHARMRX.COM
Phone Number: +1 360-642-3133

Nature of Business

Retail

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Registered Agent Information

Name Role Address
JEFF HARRELL Registered Agent 417 S TOWER AVE, CENTRALIA, WA, 98531-3917, UNITED STATES

Key Officers & Management

Name Role Address
JEFF HARRELL Governing Person 417 S TOWER AVE, CENTRALIA, WA, 98531-3917, UNITED STATES
WILLIAM QUINBY Governing Person -

National Provider Identifier

NPI Number:
1750068169
Certification Date:
2023-06-28

Authorized Person:

Name:
JEFFREY SHANE HARRELL
Role:
PRESIDENT/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
3336L0003X - Long Term Care Pharmacy
Is Primary:
Yes

Contacts:

Fax:
3609961001

Paycheck Protection Program

Jobs Reported:
9
Initial Approval Amount:
$65,000
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$55,860
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$56,358.91
Servicing Lender:
Bank of the Pacific
Use of Proceeds:
Payroll: $55,860
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