0001687657-16-000001.txt : 20161018 0001687657-16-000001.hdr.sgml : 20161018 20161017174951 ACCESSION NUMBER: 0001687657-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161018 DATE AS OF CHANGE: 20161017 EFFECTIVENESS DATE: 20161018 FILER: COMPANY DATA: COMPANY CONFORMED NAME: professional pharmacy UT, LLC CENTRAL INDEX KEY: 0001687657 IRS NUMBER: 000000000 STATE OF INCORPORATION: UT FISCAL YEAR END: 0117 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-272702 FILM NUMBER: 161939548 BUSINESS ADDRESS: STREET 1: 1723 GLISAN ST. CITY: PORTLAND STATE: OR ZIP: 97220 BUSINESS PHONE: 7028944100 MAIL ADDRESS: STREET 1: 1723 GLISAN ST. CITY: PORTLAND STATE: OR ZIP: 97220 D 1 primary_doc.xml X0707 D LIVE 0001687657 professional pharmacy UT, LLC 1723 GLISAN ST. PORTLAND OR OREGON 97220 7028944100 UTAH None None Limited Liability Company true 2016 matthew hogan peters 1723 Glisan st. portland OR OREGON 97220 Director managing member Other Health Care $1 - $1,000,000 06b false 2016-10-03 false true false 400 n/a None None None n/a n/a UT UTAH 97220 UT UTAH false 200000 14000 186000 false 14 0 0 no commissions or finders fees paid 0 false professional pharmacy UT, LLC MP Matthew Peters managing member 2016-10-17