| Name: | Inlet Pharmacy Group Inc. |
| Jurisdiction: | Alaska |
| Legal type: | Business Corporation |
| Status: | Good Standing |
| Date of registration: | 17 Nov 2017 (7 years ago) |
| Entity Number: | 10071928 |
| Place of Formation: | WASHINGTON |
| Address: | 1313 E. MAPLE STE 682, BELLINGHAM, WA 98225 |
| Name | Role |
|---|---|
| Daniel MacPhee | President |
| Daniel MacPhee | Shareholder |
| Justin Ruffridge | Shareholder |
| Justin Ruffridge | Registered Agent |
| Plan Name | Plan Year | EIN/PN | Received | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| INLET PHARMACY GROUP MEDOVA LIFESTYLE HEALTH PLAN | 2022 | 822946502 | 2024-08-28 | 0 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 200200514 |
| Plan administrator’s name | RECEIVERSHIP MANAGEMENT, INC. |
| Plan administrator’s address | 510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
| Administrator’s telephone number | 6153700051 |
Signature of
| Role | Plan administrator |
| Date | 2024-08-28 |
| Name of individual signing | ROBERT MOORE |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2021-01-01 |
| Sponsor | INLET PHARMACY GROUP |
| Business code | 446110 |
| Sponsor’s telephone number | 9072623800 |
| Plan sponsor’s address | 299 N BINKLEY ST, SOLDOTNA, AK, 996697523 |
Plan administrator’s name and address
| Administrator’s EIN | 200200514 |
| Plan administrator’s name | RECEIVERSHIP MANAGEMENT INC |
| Plan administrator’s address | 510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
| Administrator’s telephone number | 6153700051 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-29 |
| Name of individual signing | ROBERT MOORE |
| Type | License Number | Status | Date of issue | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| Pharmacy | 128780 | Active | 2018-01-08 | - | 2026-06-30 | - |
| Remote Pharmacy | 223387 | Active | 2024-07-03 | - | 2026-06-30 | - |
Date of last update: 11 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
