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COVENANT PHARMACY, LLC

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Company Details

Name: COVENANT PHARMACY, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 13 Oct 2000 (25 years ago)
Business ID: 693128
State of Incorporation: MISSISSIPPI
Principal Office Address: 371A HIGHLAND COLONY PARKWAYRIDGELAND, MS 391576035

Agent

Name Role Address
JOSEPH E VARNER III Agent 190 East Capitol Street, Suite 100 (39201);Po Drawer 119, Jackson, MS 39205

Member

Name Role Address
Medico LTC Pharmacy LLC Member 763 Avery Blvd N, Ridgeland, MS 39157

Manager

Name Role Address
Samuel Mahfouz Manager 1412 Centre Ct., Ste 503, Alexandria, LA 71301

National Provider Identifier

NPI Number:
1851390892
Certification Date:
2022-02-04

Authorized Person:

Name:
WILLIAM RICHARD WHITWELL
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
No
Selected Taxonomy:
3336L0003X - Long Term Care Pharmacy
Is Primary:
Yes

Contacts:

Fax:
6013265770

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-06-27 Annual Report For COVENANT PHARMACY, LLC
Annual Report LLC Filed 2023-03-14 Annual Report For COVENANT PHARMACY, LLC
Annual Report LLC Filed 2022-09-21 Annual Report For COVENANT PHARMACY, LLC
Notice to Dissolve/Revoke Filed 2022-09-05 Notice of Intent to Dissolve: AR: COVENANT PHARMACY, LLC
Annual Report LLC Filed 2021-11-10 Annual Report For COVENANT PHARMACY, LLC
Notice to Dissolve/Revoke Filed 2021-09-07 Notice of Intent to Dissolve: AR: COVENANT PHARMACY, LLC
Annual Report LLC Filed 2020-03-04 Annual Report For COVENANT PHARMACY, LLC
Annual Report LLC Filed 2019-06-07 Annual Report For COVENANT PHARMACY, LLC
Annual Report LLC Filed 2018-10-19 Annual Report For COVENANT PHARMACY, LLC
Annual Report LLC Filed 2018-03-02 Annual Report For COVENANT PHARMACY, LLC

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Date of last update: 03 May 2025

Sources: Company Profile on Mississippi Secretary of State Website