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CHINOOK PHARMACY, INC.

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Company Details

Legal Name: CHINOOK PHARMACY, INC.
Jurisdiction: WASHINGTON
Entity Type: WA PROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: July 20th 1979
Expiration date: 31 Jul 2025
UBI Number: 600 337 228
ZIP code: 98331
City: Forks
County: CLALLAM
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 11 S FORKS AVE, FORKS, WA, 98331-9006, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 2136, FORKS, WA, 98331-2136, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $11,077

Contact Details

E-Mail: CHINOOKP2@CHINOOKRX.NET
Phone Number: +1 360-374-5030

Nature of Business

Retail

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Registered Agent Information

Name Role Address
JEFFREY HARRELL Registered Agent 11 S FORKS AVE, FORKS, WA, 98331-9006, UNITED STATES

Key Officers & Management

Name Role
JEFFREY HARRELL Governing Person

U.S. Small Business Administration Profile

DBA:
CHINOOK PHARMACY
Phone Number:
Contact Person:
JEFFREY HARRELL
Last Update Date:
2025-02-03
Naics Primary:
456110

Self-Certification:

For Profit Organization
Subchapter S Corporation

Unique Entity ID

Unique Entity ID:
LTJEF31LDT76
CAGE Code:
51TV6
UEI Expiration Date:
2026-01-30

Business Information

Doing Business As:
CHINOOK PHARMACY
Division Name:
CHINOOK PHARMACY, INC.
Activation Date:
2025-02-03
Initial Registration Date:
2008-04-11

Commercial and government entity program

CAGE number:
51TV6
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-02-03
CAGE Expiration:
2030-02-03
SAM Expiration:
2026-01-30

Contact Information

POC:
JEFFREY HARRELL

National Provider Identifier

NPI Number:
1023701026
Certification Date:
2024-10-08

Authorized Person:

Name:
JEFFREY SHANE HARRELL
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
3603745057

Form 5500 Series

Employer Identification Number (EIN):
911076469
Plan Year:
2023
Number Of Participants:
19
Plan Name:
401(K)
Sponsor's telephone number:
Plan Year:
2022
Number Of Participants:
17
Plan Name:
401(K)
Sponsor's telephone number:
Plan Year:
2021
Number Of Participants:
17
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
CHARLES CARLSON(Plan administrator)
Plan Year:
2020
Number Of Participants:
18
Plan Name:
401(K)
Sponsor's telephone number:

Paycheck Protection Program

Jobs Reported:
16
Initial Approval Amount:
$159,000
Date Approved:
2020-04-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$159,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$159,940.93
Servicing Lender:
Umpqua Bank
Use of Proceeds:
Payroll: $159,000
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