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BREVARD PHARMACY, LLC - Florida Company Profile

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Company Details

Entity Name: BREVARD PHARMACY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 12 May 2010 (15 years ago)
Document Number: L10000051423
FEI/EIN Number 010966832
Address: 401 Barton Blvd, Rockledge, FL, 32955, US
Mail Address: 401 Barton Blvd, Rockledge, FL, 32955, US
ZIP code: 32955
City: Rockledge
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Patel Rajesh Manager 401 Barton Blvd, Rockledge, FL, 32955
Patel Chandrikaben Auth 401 Barton Blvd, Rockledge, FL, 32955
Patel Rajesh A Agent 401 Barton Blvd, Rockledge, FL, 32955

National Provider Identifier

NPI Number:
1174168322

Authorized Person:

Name:
RAJESH A. PATEL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
3336L0003X - Long Term Care Pharmacy
Is Primary:
Yes

Contacts:

Fax:
8008540356

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000088997 COMMUNITY DISCOUNT PHARMACY ACTIVE 2018-08-10 2028-12-31 - 401 BARTON BLVD, ROCKLEDGE, FL, 32955
G18000078775 PORT ST JOHN DISCOUNT PHARMACY EXPIRED 2018-07-20 2023-12-31 - 401 BARTON ROAD, ROCKLEDGE, FL, 32955
G10000043701 PORT ST JOHN DISCOUNT PHARMACY EXPIRED 2010-05-18 2015-12-31 - 6801 N US HWY 1, STE 1, COCOA, FL, 32927

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-08 401 Barton Blvd, Rockledge, FL 32955 -
CHANGE OF MAILING ADDRESS 2024-04-08 401 Barton Blvd, Rockledge, FL 32955 -
REGISTERED AGENT ADDRESS CHANGED 2024-04-08 401 Barton Blvd, Rockledge, FL 32955 -
REGISTERED AGENT NAME CHANGED 2021-04-01 Patel, Rajesh A -

Documents

Name Date
ANNUAL REPORT 2024-04-08
ANNUAL REPORT 2023-03-02
ANNUAL REPORT 2022-03-10
ANNUAL REPORT 2021-04-01
Reg. Agent Resignation 2021-01-19
ANNUAL REPORT 2020-01-31
ANNUAL REPORT 2019-02-12
ANNUAL REPORT 2018-03-02
ANNUAL REPORT 2017-01-06
ANNUAL REPORT 2016-01-22

Paycheck Protection Program

Jobs Reported:
9
Initial Approval Amount:
$103,292
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$103,292
Race:
Asian
Ethnicity:
Not Hispanic or Latino
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$104,503.2
Servicing Lender:
Wells Fargo Bank, National Association
Use of Proceeds:
Payroll: $103,292

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Date of last update: 02 Jul 2025

Sources: Florida Department of State