| Entity Name: | WESTSIDE PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 13 Aug 2009 (15 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: | L09000077862 |
| FEI/EIN Number | 900509212 |
| Address: | 2977 WEST COMMERCIAL BLVD., FT. LAUDERDALE, FL, 33309 |
| Mail Address: | 2977 WEST COMMERCIAL BLVD., FT. LAUDERDALE, FL, 33309 |
| ZIP code: | 33309 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558685776 | 2010-03-17 | 2011-08-29 | 2977 W COMMERCIAL BLVD, FT LAUDERDALE, FL, 333093502, US | 2977 W COMMERCIAL BLVD, FT LAUDERDALE, FL, 333093502, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-484-8474 |
| Fax | 9544848475 |
Authorized person
| Name | BHARATKUMAR PATEL |
| Role | PHARMACIST/OWNER |
| Phone | 9547857747 |
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 | PH24518 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1054319 |
| Name | Role | Address |
|---|---|---|
| DAVE JAYESH | Agent | 6730 NW 101ST TER, PARKLAND, FL, 33076 |
| Name | Role | Address |
|---|---|---|
| DAVE JAYESH | Manager | 6730 NW 101ST TERRACE, PARKLAND, FL, 33076 |
| DADIA NIREN | Manager | 5520 NW 106TH DRIVE, CORAL SPRINGS, FL, 33076 |
| PATEL BHARAT | Manager | 523 EAST SAMPLE RD, POMPANO, FL, 334064 |
| PATEL JAGDIP | Manager | 125 WOODLAKE CICRLE, LAKEWORTH, FL, 33463 |
| NAIK RAMESHCHANDRA K | Manager | 9565 N BELFORT CIR, APT# P-206, TAMARAC, FL, 33321 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-08-15 | 2977 WEST COMMERCIAL BLVD., FT. LAUDERDALE, FL 33309 | No data |
| CHANGE OF MAILING ADDRESS | 2011-08-15 | 2977 WEST COMMERCIAL BLVD., FT. LAUDERDALE, FL 33309 | No data |
| LC AMENDMENT | 2011-07-18 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-07-18 | 6730 NW 101ST TER, PARKLAND, FL 33076 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-02-04 | DAVE, JAYESH | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-01-28 |
| LC Amendment | 2011-07-18 |
| ANNUAL REPORT | 2011-02-04 |
| ANNUAL REPORT | 2010-04-27 |
| Florida Limited Liability | 2009-08-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
