LINCOLN PHARMACY, L.L.C.

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Company Details

Legal Name:	LINCOLN PHARMACY, L.L.C.
Jurisdiction:	WASHINGTON
Entity Type:	WA LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	November 18th 2004
Expiration date:	30 Nov 2025
UBI Number:	602 447 302
ZIP code:	98418
City:	Tacoma
County:	PIERCE
Home State:	WASHINGTON
Principal Office Street Address:	821 S 38TH ST, TACOMA, WA, 98418, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$11,494

Contact Details

E-Mail:	PATRICKOD12@COMCAST.NET
Phone Number:	+1 360-280-0465

Nature of Business

OWN AND OPERATE PHARMACY

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Registered Agent Information

Name	Role	Address
JESSE D. RODMAN	Registered Agent	1102 BROADWAY STE 500, TACOMA, WA, 98402-3534, UNITED STATES

Key Officers & Management

Name	Role	Address
PATRICK O'DONNELL	Governing Person	-
PAUL STUTZENBURG	Governing Person	-
PATRICK O'DONNELL	EXECUTOR	821 S 38TH ST, TACOMA, WA, 98418, UNITED STATES

National Provider Identifier

NPI Number:

1477361814

Certification Date:

2024-12-18

Link:

View on NPI website

Authorized Person:

Name:

TED PERILLO

Role:

MGR

Phone:

2175121917

Taxonomy:

Selected Taxonomy:

261QP2300X - Primary Care Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 253-473-1155

Fax:

2534731158

Form 5500 Series

Employer Identification Number (EIN):

202049302

Plan Year:

2024

Number Of Participants:

102

Plan Name:

401(K)

Sponsor's telephone number:

2534731155

File:

Plan Administrator / Signatory:

JENNIFER EVANICKY(Plan administrator)

Plan Year:

2023

Number Of Participants:

106

Plan Name:

401(K)

Sponsor's telephone number:

2534731155

File:

Plan Administrator / Signatory:

LESLIE DRAPER(Plan administrator)

Plan Year:

2022

Number Of Participants:

107

Plan Name:

401(K)

Sponsor's telephone number:

2534731155

File:

Plan Year:

2021

Number Of Participants:

99

Plan Name:

401(K)

Sponsor's telephone number:

2534731155

File:

Plan Year:

2020

Number Of Participants:

90

Plan Name:

401(K)

Sponsor's telephone number:

2534731155

File:

Paycheck Protection Program

Jobs Reported:

71

Initial Approval Amount:

$856,900

Date Approved:

2020-04-28

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$856,900

Race:

Unanswered

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Unanswered

Forgiveness Amount:

$866,431.55

Servicing Lender:

Timberland Bank

Use of Proceeds:

Payroll: $856,900

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