| Entity Name: | LA MILAGROSA PHARMACY & DISCOUNT LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 19 Mar 2008 (17 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L08000028396 |
| FEI/EIN Number | 262222956 |
| Address: | 432 SW 8TH AVE, MIAMI, FL, 33130, US |
| Mail Address: | 432 SW 8TH AVE, MIAMI, FL, 33130, US |
| ZIP code: | 33130 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437442530 | 2011-05-23 | 2013-02-28 | 1690 NW 19TH TER, MIAMI, FL, 331251593, US | 1690 NW 19TH TER, MIAMI, FL, 331251593, US | |||||||||||||||||||||||||||
|
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| Phone | +1 786-953-7156 |
| Fax | 7869537968 |
Authorized person
| Name | MARICELA NICOLAS |
| Role | PRESIDENT |
| Phone | 3055451127 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH25465 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5705922 |
| Name | Role | Address |
|---|---|---|
| NICOLAS MARICELA | Agent | 432 SW 8TH AVE, MIAMI, FL, 33130 |
| Name | Role | Address |
|---|---|---|
| NICOLAS MARICELA | Manager | 432 SW 8TH AVE, MIAMI, FL, 33130 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-08 | 432 SW 8TH AVE, MIAMI, FL 33130 | No data |
| CHANGE OF MAILING ADDRESS | 2016-03-08 | 432 SW 8TH AVE, MIAMI, FL 33130 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-08 | 432 SW 8TH AVE, MIAMI, FL 33130 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-01-26 |
| ANNUAL REPORT | 2014-01-15 |
| ANNUAL REPORT | 2013-01-28 |
| ANNUAL REPORT | 2012-01-31 |
| ANNUAL REPORT | 2011-04-11 |
| FEI NUMBER | 2010-11-17 |
| ANNUAL REPORT | 2010-04-27 |
| ANNUAL REPORT | 2009-01-09 |
| Florida Limited Liability | 2008-03-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
