| Entity Name: | FLORIDA DISCOUNT RX LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 30 Aug 2007 (17 years ago) |
| Date of dissolution: | 30 Apr 2009 (16 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 30 Apr 2009 (16 years ago) |
| Document Number: | L07000089257 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 1951 W MLK JR BLVD, TAMPA, FL, 33612 |
| Mail Address: | 1911 WEST MARTIN LUTHUR KING JR BLVD, TAMPA, FL, 33607 |
| ZIP code: | 33612 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184811994 | 2007-09-26 | 2007-10-09 | 1951 W MLK JR BLVD, TAMPA, FL, 33607, US | 1951 W MLK JR BLVD, TAMPA, FL, 33607, US | |||||||||||||||||||||||||||
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| Phone | +1 813-425-2195 |
| Fax | 8133821513 |
Authorized person
| Name | SUSAN TITA |
| Role | PHCY MANG |
| Phone | 8133350267 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| License Number | PH22888 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | OTHER ID NUMBER |
| Number | 1028819 |
| Name | Role |
|---|---|
| SPIEGEL & UTRERA, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| BAKARE AKIN | President | 1911 W MLK JR BLVD, TAMPA, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| TITA SUSAN | Vice President | 1911 W MLK JR BLVD, TAMPA, FL, 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2009-04-30 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2008-01-07 | 1951 W MLK JR BLVD, TAMPA, FL 33612 | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2009-04-30 |
| ANNUAL REPORT | 2008-01-07 |
| Florida Limited Liability | 2007-08-30 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
