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TIETON VILLAGE DRUG, INC.

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Company Details

Legal Name: TIETON VILLAGE DRUG, INC.
Jurisdiction: WASHINGTON
Entity Type: WA PROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: April 20th 1998
Expiration date: 30 Apr 2026
UBI Number: 601 870 757
ZIP code: 98908
City: Yakima
County: YAKIMA
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 5102 SCENIC DR, YAKIMA, WA, 98908-2229, UNITED STATES

Contact Details

E-Mail: KARENSHYATT@AOL.COM
Phone Number: +1 509-248-7379

Nature of Business

Retail

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Registered Agent Information

Name Role Address
KAREN HYATT Registered Agent 5102 SCENIC DR, YAKIMA, WA, 98908-2229, UNITED STATES

Key Officers & Management

Name Role Address
KAREN HYATT Governing Person 5102 SENIC DRIVE, YAKIMA, WA, 98908, UNITED STATES
PHILLIP LUTHER Governing Person 1330 DAZET RD, YAKIMA, WA, 98908, UNITED STATES

National Provider Identifier

NPI Number:
1902459100
Certification Date:
2020-12-28

Authorized Person:

Name:
PHIL LUTHER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
3336L0003X - Long Term Care Pharmacy
Is Primary:
Yes

Contacts:

Fax:
5099662690
Fax:
8669340323

Paycheck Protection Program

Jobs Reported:
35
Initial Approval Amount:
$378,044.57
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$378,044.57
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$379,994.07
Servicing Lender:
Baker Boyer National Bank
Use of Proceeds:
Payroll: $378,044.57
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