| Entity Name: | GENERIC RX, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 09 Feb 2009 (16 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | L09000013194 |
| Address: | 3448 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33441 |
| Mail Address: | 3448 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33441 |
| ZIP code: | 33441 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366672271 | 2009-07-27 | 2009-07-27 | 3448 W HILLSBORO BLVD, DEERFIELD BEACH, FL, 334429419, US | 3448 W HILLSBORO BLVD, DEERFIELD BEACH, FL, 334429419, US | |||||||||||||||||||||||
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| Phone | +1 954-420-5656 |
| Fax | 9544278566 |
Authorized person
| Name | DIANA IAGROSSI |
| Role | OWNER |
| Phone | 9544205656 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH 24161 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1047352 |
| Name | Role | Address |
|---|---|---|
| TOBIN, GERALD J | Agent | 2701 S BAYSHORE DRIVE, SUITE 602, COCONUT GROVE, FL 33133 |
| Name | Role | Address |
|---|---|---|
| IAGROSSI, DIANA | Managing Member | 3448 W. HILLSBORO BLVD, DEERFIELD BEACH, FL 33441 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| LC AMENDMENT | 2011-07-05 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2011-07-05 | TOBIN, GERALD J | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-07-05 | 2701 S BAYSHORE DRIVE, SUITE 602, COCONUT GROVE, FL 33133 | No data |
| LC AMENDMENT | 2009-07-20 | No data | No data |
| Name | Date |
|---|---|
| LC Amendment | 2011-07-05 |
| ANNUAL REPORT | 2011-04-28 |
| ANNUAL REPORT | 2010-04-30 |
| LC Amendment | 2009-07-20 |
| Florida Limited Liability | 2009-02-09 |
Date of last update: 26 Jan 2025
Sources: Florida Department of State
