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OKANOGAN VALLEY PROFESSIONAL PHARMACY LLC

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Company Details

Legal Name: OKANOGAN VALLEY PROFESSIONAL PHARMACY LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: October 14th 2013
Date of Dissolution: January 30th 2019
Expiration date: 31 Oct 2018
UBI Number: 603 341 072
ZIP code: 98840
City: Okanogan
County: OKANOGAN
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 236 2ND AVE N, OKANOGAN, WA, 98840, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 1247, OKANOGAN, WA, 98840-1247, UNITED STATES

Contact Details

Phone Number: +1 509-322-6321

Nature of Business

RETAIL PHARMACY

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Registered Agent Information

Name Role Address
TRENT DANIELSON Registered Agent 236 N 2ND AVE, OKANOGAN, WA, 98840-0000, UNITED STATES

Key Officers & Management

Name Role
TRENT DANIELSON Governing Person

National Provider Identifier

NPI Number:
1801169628

Authorized Person:

Name:
TRENT DANIELSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Fax:
5094229998
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