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 |
Supporting healthcare providers fighting with COVID-19: | $2,366 |
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 | |||||||||||||||||||||||||||||||
|
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 |
License Number | Program | Type | Status | Issue Date | Effective Date | Expiration Date |
---|---|---|---|---|---|---|
128780 | Pharmacy | Pharmacy | Active | 2018-01-08 | 2024-06-04 | 2026-06-30 |
223387 | Pharmacy | Remote Pharmacy | Active | 2024-07-03 | 2024-07-03 | 2026-06-30 |
Date of last update: 04 Feb 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development