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FAIRBANKS PHARMACY INC.

Company Details

Name: FAIRBANKS PHARMACY INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 16 Dec 1966 (58 years ago)
Entity Number: 204903
ZIP code: 13838
County: Delaware
Place of Formation: New York
Address: 37 MAIN ST, SIDNEY, NY, United States, 13838
Principal Address: 25 HAYNES BLVD, SIDNEY, NY, United States, 13838

Shares Details

Shares issued 100

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
DAVID E. VANVALKENBURG Chief Executive Officer 37 MAIN STREET, SIDNEY, NY, United States, 13838

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 37 MAIN ST, SIDNEY, NY, United States, 13838

National Provider Identifier

NPI Number:
1942273636

Authorized Person:

Name:
MR. DAVID E VANVALKENBURG
Role:
OWNER / CHIEF PHARMACIST
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
No
Selected Taxonomy:
332BP3500X - Parenteral & Enteral Nutrition Supplies (DME)
Is Primary:
No
Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
No
Selected Taxonomy:
335E00000X - Prosthetic/Orthotic Supplier
Is Primary:
No

Contacts:

Fax:
6075631762

Form 5500 Series

Employer Identification Number (EIN):
160966414
Plan Year:
2009
Number Of Participants:
15
Sponsors Telephone Number:

History

Start date End date Type Value
1995-06-01 1997-05-13 Address 27 HAYNES BLVD, SIDNEY, NY, 13838, USA (Type of address: Principal Executive Office)
1966-12-16 1995-06-01 Address 37 MAIN ST., NEW YORK, NY, 10044, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
090219002391 2009-02-19 BIENNIAL STATEMENT 2008-12-01
20070619029 2007-06-19 ASSUMED NAME CORP INITIAL FILING 2007-06-19
061121002464 2006-11-21 BIENNIAL STATEMENT 2006-12-01
050810002327 2005-08-10 BIENNIAL STATEMENT 2005-12-01
021209002154 2002-12-09 BIENNIAL STATEMENT 2002-12-01

Date of last update: 18 Mar 2025

Sources: New York Secretary of State