| Entity Name: | FELKY RX, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 15 Oct 2007 (17 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | L07000104387 |
| FEI/EIN Number | 331186570 |
| Address: | 14510 NORTH FLORIDA AVENUE, TAMPA, FL, 33613 |
| Mail Address: | 14510 NORTH FLORIDA AVENUE, TAMPA, FL, 33613 |
| ZIP code: | 33613 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144407636 | 2008-01-28 | 2010-05-25 | PO BOX 17507, TAMPA, FL, 336827507, US | 14510 N FLORDIA AVENUE, TAMPA, FL, 33613, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 813-264-0777 |
| Fax | 8132640329 |
Authorized person
| Name | EMMANUEL MEKOWULU |
| Role | PRESIDENT |
| Phone | 8135082090 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PH23147 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1032010 |
| Issuer | MEDICAID |
| Number | 032496500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MEKOWULU EMMANUEL D | Agent | 14510 NORTH FLORIDA AVENUE, TAMPA, FL, 33613 |
| Name | Role | Address |
|---|---|---|
| MEKOWULU EMMANUEL | Chief Executive Officer | 14510 NORTH FLORIDA AVENUE, TAMPA, FL, 33613 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2012-02-01 | MEKOWULU, EMMANUEL D | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-02-01 | 14510 NORTH FLORIDA AVENUE, TAMPA, FL 33613 | No data |
| CHANGE OF MAILING ADDRESS | 2011-05-27 | 14510 NORTH FLORIDA AVENUE, TAMPA, FL 33613 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-03-04 | 14510 NORTH FLORIDA AVENUE, TAMPA, FL 33613 | No data |
| LC AMENDMENT | 2010-02-16 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-02-01 |
| ANNUAL REPORT | 2011-05-27 |
| ANNUAL REPORT | 2011-03-04 |
| LC Amendment | 2010-02-16 |
| ANNUAL REPORT | 2010-02-04 |
| ANNUAL REPORT | 2009-09-09 |
| ANNUAL REPORT | 2008-03-10 |
| Florida Limited Liability | 2007-10-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
