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MADISON PARK PHARMACY & WELLNESS CENTER, LLC

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Company Details

Legal Name: MADISON PARK PHARMACY & WELLNESS CENTER, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: March 18th 2023
Expiration date: 31 Mar 2026
UBI Number: 605 150 031
ZIP code: 98112
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 4130 E MADISON ST, SEATTLE, WA, 98112-3231, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX B, ILWACO, WA, 98624-0167, UNITED STATES

Contact Details

E-Mail: JEFF@PENPHARMRX.COM
Phone Number: +1 360-244-5984

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
MADISON PARK PHARMACY & WELLNESS CENTER, LLC Registered Agent 4130 E MADISON ST, SEATTLE, WA, 98112-3231, UNITED STATES

Key Officers & Management

Name Role Address
JEFF HARRELL Executor PO BOX B, ILWACO, WA, 98624-0167, UNITED STATES
JEFF HARRELL Governing Person -
MATT BINDER Governing Person -

National Provider Identifier

NPI Number:
1750081030
Certification Date:
2024-08-06

Authorized Person:

Name:
JEFFREY S HARRELL
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
No
Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Fax:
2064801739
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