| Entity Name: | SUPER DISCOUNT PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 May 2007 (18 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 04 Nov 2008 (16 years ago) |
| Document Number: | L07000052715 |
| FEI/EIN Number | 260186101 |
| Address: | 1423 SOUTH COLLINS STREET, PLANT CITY, FL, 33563-6577, US |
| Mail Address: | 1423 SOUTH COLLINS STREET, PLANT CITY, FL, 33563-6577, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407041817 | 2007-09-10 | 2020-10-30 | 1423 S COLLINS ST, PLANT CITY, FL, 335636577, US | 1423 S COLLINS ST, PLANT CITY, FL, 335636577, US | |||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
| Phone | +1 813-752-1133 |
| Fax | 8137528866 |
Authorized person
| Name | MANJIT MATHARU |
| Role | MANAGER |
| Phone | 8137521133 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH22877 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 032194000 |
| State | FL |
| Issuer | PK |
| Number | 2009651 |
| Name | Role | Address |
|---|---|---|
| VELASQUEZ MARTA | Agent | 5255 Collins Ave, Miami Beach, FL, 33140 |
| Name | Role | Address |
|---|---|---|
| MATHARU MANJIT | Managing Member | 10215 QUAILS LANDING AVE, TAMPA, FL, 33647 |
| VELASQUEZ MARTA | Managing Member | 5255 Collins Ave, Miami Beach, FL, 33140 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-04 | 1423 SOUTH COLLINS STREET, PLANT CITY, FL 33563-6577 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-04 | 1423 SOUTH COLLINS STREET, PLANT CITY, FL 33563-6577 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-26 | 5255 Collins Ave, Miami Beach, FL 33140 | No data |
| CANCEL ADM DISS/REV | 2008-11-04 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| LC NAME CHANGE | 2007-05-29 | SUPER DISCOUNT PHARMACY LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-23 |
| ANNUAL REPORT | 2024-01-15 |
| ANNUAL REPORT | 2023-01-04 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-04 |
| ANNUAL REPORT | 2020-01-14 |
| ANNUAL REPORT | 2019-01-07 |
| ANNUAL REPORT | 2018-01-04 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-01-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
