| Entity Name: | SALEM PHARMACY, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 19 Jul 2012 |
| Business ALEI: | 1078233 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 456110 - Pharmacies and Drug Retailers |
| Business address: | 20 HARTFORD RD STE 16, SALEM, CT, 06420, United States |
| Mailing address: | 20 HARTFORD RD STE 16, SALEM, CT, United States, 06420 |
| ZIP code: | 06420 |
| County: | New London |
| Place of Formation: | CONNECTICUT |
| E-Mail: | salempharmacy@salempharmacy.net |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7N0W8 | Obsolete | Non-Manufacturer | 2016-06-15 | 2024-03-08 | 2023-02-16 | No data | |||||||||||||
|
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| POC | WENDY MIKOLINSKI |
| Phone | +1 860-949-8624 |
| Address | 24 HARTFORD RD STE 11, SALEM, CT, 06420 3839, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| WENDY MIKOLINSKI | Agent | 20 HARTFORD RD STE 16, SALEM, CT, 06420, United States | 20 HARTFORD RD, STE 16, SALEM, CT, 06420, United States | +1 860-655-2885 | salempharmacy@salempharmacy.net | 500 WEST RD, SALEM, CT, 06420, United States |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| CRAIG MIKOLINSKI | Officer | 20 HARTFORD RD, STE 16, SALEM, CT, 06420, United States | No data | No data | 500 WEST RD, SALEM, CT, 06420, United States |
| WENDY MIKOLINSKI | Officer | 20 HARTFORD RD, STE 16, SALEM, CT, 06420, United States | +1 860-655-2885 | salempharmacy@salempharmacy.net | 500 WEST RD, SALEM, CT, 06420, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| PCY.0002252 | PHARMACY | ACTIVE | CURRENT | 2012-09-26 | 2024-09-01 | 2025-08-31 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012077825 | 2024-04-09 | No data | Annual Report | Annual Report | No data |
| BF-0011440470 | 2023-03-16 | No data | Annual Report | Annual Report | No data |
| BF-0010221917 | 2022-03-02 | No data | Annual Report | Annual Report | 2022 |
| 0007061524 | 2021-01-12 | No data | Annual Report | Annual Report | 2021 |
| 0007011321 | 2020-11-02 | No data | Annual Report | Annual Report | 2020 |
| 0006592554 | 2019-07-09 | 2019-07-09 | Change of Business Address | Business Address Change | No data |
| 0006372420 | 2019-02-08 | No data | Annual Report | Annual Report | 2019 |
| 0006372411 | 2019-02-08 | No data | Annual Report | Annual Report | 2018 |
| 0005885310 | 2017-07-11 | No data | Annual Report | Annual Report | 2017 |
| 0005599445 | 2016-07-11 | No data | Annual Report | Annual Report | 2016 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
