| Entity Name: | MAI PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 17 Apr 2006 (19 years ago) |
| Date of dissolution: | 28 Apr 2010 (15 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 28 Apr 2010 (15 years ago) |
| Document Number: | L06000039470 |
| FEI/EIN Number | 204949278 |
| Address: | 16 WINTERGREEN WAY, OCALA, FL, 34482 |
| Mail Address: | 16 WINTERGREEN WAY, OCALA, FL, 34482 |
| ZIP code: | 34482 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952483745 | 2006-10-20 | 2020-08-22 | 1821 E COLONIAL DR, ORLANDO, FL, 328034805, US | 1821 E COLONIAL DR, ORLANDO, FL, 328034805, US | |||||||||||||||||||||||
|
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| Phone | +1 407-898-2055 |
| Fax | 4078986918 |
Authorized person
| Name | DUC PHAN |
| Role | PHARMACY MANAGER |
| Phone | 4078982055 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH22311 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | OTHER ID NUMBER-COMMERCIAL NUMBER |
| Number | 1022639 |
| Name | Role |
|---|---|
| NRAI SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| PHAN DUC H | Managing Member | 16 WINTERGREEN WAY, OCALA, FL, 34482 |
| PHAN LAURA L | Managing Member | 16 WINTERGREEN WAY, OCALA, FL, 34482 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2011-02-11 | 1200 South Pine Island Road, Plantation, FL 33324 | No data |
| LC VOLUNTARY DISSOLUTION | 2010-04-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-05-01 | 16 WINTERGREEN WAY, OCALA, FL 34482 | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2010-04-28 |
| ANNUAL REPORT | 2010-03-19 |
| ANNUAL REPORT | 2009-04-02 |
| ANNUAL REPORT | 2008-05-01 |
| ANNUAL REPORT | 2007-04-02 |
| Florida Limited Liability | 2006-04-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
