SOUTHGATE PHARMACY, LLC

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Company Details

Legal Name:	SOUTHGATE PHARMACY, LLC
Jurisdiction:	WASHINGTON
Entity Type:	WA LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	September 28th 2009
Expiration date:	30 Sep 2025
UBI Number:	602 951 807
ZIP code:	98837
City:	Moses Lake
County:	GRANT
Home State:	WASHINGTON
Principal Office Street Address:	2709 W BROADWAY AVE, MOSES LAKE, WA, 98837-2904, UNITED STATES
Principal Office Mailing Address:	2709 W BROADWAY AVE, MOSES LAKE, WA, 98837, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$3,438

Contact Details

E-Mail:	LATEEF@SOUTHGATERX.COM
Phone Number:	+1 509-750-8319

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
LATEEF OLANIYAN	Registered Agent	2709 W BROADWAY AVE, MOSES LAKE, WA, 98837-0000, UNITED STATES

Key Officers & Management

Name	Role
LATEEF OLANIYAN	Governing Person

National Provider Identifier

NPI Number:

1427381136

Link:

View on NPI website

Authorized Person:

Name:

MR. LATEEF AJANI OLANIYAN

Role:

OWNER/PHARMACIST

Phone:

5097659332

Taxonomy:

Selected Taxonomy:

333600000X - Pharmacy

Is Primary:

No

Selected Taxonomy:

3336L0003X - Long Term Care Pharmacy

Is Primary:

No

Selected Taxonomy:

3336C0003X - Community/Retail Pharmacy

Is Primary:

Yes

Contacts:

Phone:

+1 509-765-9332

Fax:

5097654761

Form 5500 Series

Employer Identification Number (EIN):

800461166

Plan Year:

2023

Number Of Participants:

6

Plan Name:

401(K)

Sponsor's telephone number:

5097659332

File:

Plan Year:

2022

Number Of Participants:

6

Plan Name:

401(K)

Sponsor's telephone number:

5097659332

File:

Plan Year:

2021

Number Of Participants:

5

Plan Name:

401(K)

Sponsor's telephone number:

5097659332

File:

Plan Year:

2020

Number Of Participants:

5

Plan Name:

401(K)

Sponsor's telephone number:

5097659332

File:

Plan Year:

2019

Number Of Participants:

3

Plan Name:

401(K)

Sponsor's telephone number:

5097659332

File:

Paycheck Protection Program

Jobs Reported:

7

Initial Approval Amount:

$90,630

Date Approved:

2020-04-13

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$90,630

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$91,672.87

Servicing Lender:

Banner Bank

Use of Proceeds:

Payroll: $90,630

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