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  5. FRED'S WESTSIDE PHARMACY, INC.

FRED'S WESTSIDE PHARMACY, INC.

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Company Details

Name: FRED'S WESTSIDE PHARMACY, INC.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 21 Apr 1994 (31 years ago)
Business ID: 606648
ZIP code: 39466
County: Pearl River
State of Incorporation: MISSISSIPPI
Principal Office Address: 207 KIRKWOOD STPICAYUNE, MS 39466

Agent

Name Role Address
Roger Gordon Cruse Agent 207 Kirkwood St, Picayune, MS 39466

Incorporator

Name Role Address
Dianne V Cruse Incorporator 11 Lakeside Drive, Carriere, MS 39426
Fred Cruse Iii Incorporator 207 Kirkwood St, Picayune, MS 39466

President

Name Role Address
Roger Gordon Cruse President 724 Lakeside Drive, Carriere, MS 39426

Treasurer

Name Role Address
Roger Gordon Cruse Treasurer 724 Lakeside Drive, Carriere, MS 39426

Chairman

Name Role Address
Roger Gordon Cruse Chairman 724 Lakeside Drive, Carriere, MS 39426

Chief Executive Officer

Name Role Address
Roger Gordon Cruse Chief Executive Officer 724 Lakeside Drive, Carriere, MS 39426

Chief Financial Officer

Name Role Address
Roger Gordon Cruse Chief Financial Officer 724 Lakeside Drive, Carriere, MS 39426

Director

Name Role Address
William Ney Cruse, Sr. Director 714 Lakeside Drive, Carriere, MS 39426
Dianne V. Cruse Director 722 Lakeside Drive, Carriere, MS 39426
Roger Gordon Cruse Director 724 Lakeside Drive, Carriere, MS 39426

Vice President

Name Role Address
William Ney Cruse, Sr. Vice President 714 Lakeside Drive, Carriere, MS 39426

Secretary

Name Role Address
Dianne V. Cruse Secretary 722 Lakeside Drive, Carriere, MS 39426

Unique Entity ID

CAGE Code:
7URX8
UEI Expiration Date:
2018-04-26

Business Information

Activation Date:
2017-04-28
Initial Registration Date:
2017-04-24

Commercial and government entity program

CAGE number:
7URX8
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2022-10-21
CAGE Expiration:
2026-07-26
SAM Expiration:
2022-10-21

Contact Information

POC:
ROGER CRUSE

National Provider Identifier

NPI Number:
1265520290
Link:
View on NPI website

Authorized Person:

Name:
ROGER G CRUSE
Role:
OWNER
Phone:
6017988888

Taxonomy:

Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Phone:
+1 601-798-8888
Fax:
6017991012

Filings

Type Status Filed Date Description
Annual Report Filed 2025-01-20 Annual Report For FRED'S WESTSIDE PHARMACY, INC.
Annual Report Filed 2024-01-26 Annual Report For FRED'S WESTSIDE PHARMACY, INC.
Annual Report Filed 2023-01-24 Annual Report For FRED'S WESTSIDE PHARMACY, INC.
Amendment Form Filed 2023-01-24 Amendment For FRED'S WESTSIDE PHARMACY, INC.
Annual Report Filed 2022-07-13 Annual Report For FRED'S WESTSIDE PHARMACY, INC.
Annual Report Filed 2021-02-24 Annual Report For FRED'S WESTSIDE PHARMACY, INC.
Annual Report Filed 2020-06-24 Annual Report For FRED'S WESTSIDE PHARMACY, INC.
Annual Report Filed 2019-09-10 Annual Report For FRED'S WESTSIDE PHARMACY, INC.
Notice to Dissolve/Revoke Filed 2019-08-22 Notice to Dissolve/Revoke
Annual Report Filed 2018-07-25 Annual Report For FRED'S WESTSIDE PHARMACY, INC.

USAspending Awards / Financial Assistance

Date:
2020-05-30
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-04-11
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
35645.00
Total Face Value Of Loan:
35645.00

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$35,645
Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$35,645
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$36,062.84
Servicing Lender:
The First Bank
Use of Proceeds:
Mortgage Interest: $35,645

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207 KIRKWOOD STPICAYUNE, MS 39466

WESTSIDE PHARMACY, INC.

Date of last update: 18 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website

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