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KORNER PHARMACY, LLC

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Company Details

Legal Name: KORNER PHARMACY, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: September 3rd 2019
Date of Dissolution: February 3rd 2021
Expiration date: 30 Sep 2020
UBI Number: 604 502 442
ZIP code: 98501
City: Olympia
County: THURSTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1531 BRIGHTON WAY SE, OLYMPIA, WA, 98501-8618, UNITED STATES

Contact Details

E-Mail: CHRISTINE@CHRISTINESHADE.COM
Phone Number: +1 760-704-9788

Nature of Business

Other Services, PHARMACY

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Registered Agent Information

Name Role Address
ANGELA BREWER Registered Agent 1531 BRIGHTON WAY SE, OLYMPIA, WA, 98501-8618, UNITED STATES

Key Officers & Management

Name Role Address
ERICA HILDERBRANT Governing Person 1531 BRIGHTON WAY SE, OLYMPIA, WA, 98501-8618, UNITED STATES
ANGELA BREWER EXECUTOR 1531 BRIGHTON WAY SE, OLYMPIA, WA, 98501-8618, UNITED STATES

National Provider Identifier

NPI Number:
1881227742
Certification Date:
2020-02-19

Authorized Person:

Name:
PAUL MCCARTY
Role:
PIC
Phone:

Taxonomy:

Selected Taxonomy:
3336L0003X - Long Term Care Pharmacy
Is Primary:
No
Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

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