| Entity Name: | PRIME PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PRIME PHARMACY, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 08 Feb 2010 (15 years ago) |
| Date of dissolution: | 22 Sep 2023 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (2 years ago) |
| Document Number: | L10000014551 |
| FEI/EIN Number |
271854334
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 7685 103RD ST, SUITE 4, JACKSONVILLE, FL, 32210, US |
| Mail Address: | 7685 103RD ST, SUITE 4, JACKSONVILLE, FL, 32210, US |
| ZIP code: | 32210 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962728360 | 2010-04-12 | 2019-01-10 | 7685 103RD ST STE 4, JACKSONVILLE, FL, 322109325, US | 7685 103RD ST STE 4, JACKSONVILLE, FL, 32210, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 904-813-7634 |
| Fax | 9045516555 |
Authorized person
| Name | SHERAZ MIRZA |
| Role | COO |
| Phone | 9045516555 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH24868 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2126711 |
| Issuer | MEDICAID |
| Number | 002961800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| mirza khalid m | Managing Member | 3604 university blvd, JACKSONVILLE, FL, 32216 |
| mirza khalid m | Agent | 7685 103RD ST, JACKSONVILLE, FL, 32210 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000101525 | PRIME PHARMACY | EXPIRED | 2017-09-06 | 2022-12-31 | - | 3604 UNIVERSITY BLVD S, SUITE 102, JACKSONVILLE, FL, 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2021-07-29 | 7685 103RD ST, SUITE 4, JACKSONVILLE, FL 32210 | - |
| CHANGE OF MAILING ADDRESS | 2021-07-29 | 7685 103RD ST, SUITE 4, JACKSONVILLE, FL 32210 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-07-29 | 7685 103RD ST, SUITE 4, JACKSONVILLE, FL 32210 | - |
| REGISTERED AGENT NAME CHANGED | 2017-03-02 | mirza, khalid m | - |
| LC AMENDMENT | 2016-12-07 | - | - |
| LC AMENDMENT | 2016-05-25 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-05-02 |
| ANNUAL REPORT | 2021-07-29 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-03-02 |
| LC Amendment | 2016-12-07 |
| LC Amendment | 2016-05-25 |
| ANNUAL REPORT | 2016-05-02 |
| ANNUAL REPORT | 2015-04-27 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4542437705 | 2020-05-01 | 0491 | PPP | 7685 103RD STREET SUITE 4, JACKSONVILLE, FL, 32210 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 May 2025
Sources: Florida Department of State
