| Entity Name: | DAVE PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 01 Dec 2009 (15 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | L09000114524 |
| FEI/EIN Number | 01-0942690 |
| Address: | 1313 WEST BOYNTON BEACH BLVD, R-10, BOYNTON BEACH, FL 33426 |
| Mail Address: | 1313 WEST BOYNTON BEACH BLVD, R-10, BOYNTON BEACH, FL 33426 |
| ZIP code: | 33426 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841514346 | 2010-03-26 | 2010-03-30 | 5902 ABBEY RD, TAMARAC, FL, 333214110, US | 1313 W BOYNTON BEACH BLVD, BOYNTON BEACH, FL, 334263436, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 954-263-1514 |
Authorized person
| Name | RAKHI DAVE |
| Role | MANAGER |
| Phone | 9542631514 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | PH24540 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH24540 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP |
| Number | 1055107 |
| Issuer | STATE LICENSE |
| Number | PH24540 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DADIA, MAHASUKHLAL | Agent | 1313 WEST BOYNTON BEACH BLVD, R-10, BOYNTON BEACH, FL 33426 |
| Name | Role | Address |
|---|---|---|
| DADIA, MAHASUKHLAL | Managing Member | 5903 NW 97TH DR, PARKLAND, FL 33076 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000010140 | BOYNTON PHARMACY | EXPIRED | 2010-02-01 | 2015-12-31 | No data | 5902 ABBEY ROAD, TAMARAC, FL, 33321 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| LC AMENDMENT | 2013-06-10 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2013-06-10 | DADIA, MAHASUKHLAL | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-06-10 | 1313 WEST BOYNTON BEACH BLVD, R-10, BOYNTON BEACH, FL 33426 | No data |
| LC AMENDMENT | 2012-06-11 | No data | No data |
| LC AMENDMENT | 2012-04-30 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-01-31 |
| LC Amendment | 2012-06-11 |
| LC Amendment | 2012-04-30 |
| ANNUAL REPORT | 2012-03-20 |
| ANNUAL REPORT | 2011-02-23 |
| Florida Limited Liability | 2009-12-01 |
Date of last update: 24 Feb 2025
Sources: Florida Department of State
