| Entity Name: | FOSUYI ENTERPRISE, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Jun 2010 (15 years ago) |
| Document Number: | L10000058120 |
| FEI/EIN Number | 92-3314274 |
| Address: | 2595 Watermill DR, Orange Park, FL, 32073, US |
| Mail Address: | 2595 WATERMILL DRIVE, ORANGE PARK, FL, 32073 |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538469028 | 2010-10-30 | 2011-02-01 | 2595 WATERMILL DR, ORANGE PARK, FL, 320731621, US | 5312 N PEARL ST, JACKSONVILLE, FL, 322085119, US | |||||||||||||||||||||||||||
|
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| Phone | +1 904-505-9720 |
| Fax | 9046936684 |
| Phone | +1 904-353-7223 |
| Fax | 9043537224 |
Authorized person
| Name | FELIX OBASUYI |
| Role | PHARMACY MANAGER |
| Phone | 9043537223 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH25006 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5702382 |
| Name | Role | Address |
|---|---|---|
| OBASUYI FELIX | Agent | 2595 WATERMILL DRIVE, ORANGE PARK, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| OBASUYI FELIX O | Managing Member | 2595 WATERMILL DRIVE, ORANGE PARK, FL, 32073 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G25000004609 | RITE-MART PHARMACY | ACTIVE | 2025-01-10 | 2030-12-31 | No data | 2595 WATERMILL DR, ORANGE PARK, FL, 32073 |
| G24000139394 | DOSUYI.COM | ACTIVE | 2024-11-14 | 2029-12-31 | No data | 7055 BLANDING BLVD #440104, JACKSONVILLE, FL, 32244 |
| G16000070220 | LEGACY CONSULTING AND STAFFING AGENCY | EXPIRED | 2016-07-17 | 2021-12-31 | No data | 2595 WATERMILL DR, ORANGE PARK, FL, 32073 |
| G10000047728 | RITE-MART PHARMACY | EXPIRED | 2010-06-01 | 2015-12-31 | No data | 2595 WATERMILL DR, ORANGE PARK, FL, 32073 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-05-11 | 2595 Watermill DR, Orange Park, FL 32073 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-09 |
| ANNUAL REPORT | 2023-04-04 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-05-11 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-04-11 |
| ANNUAL REPORT | 2017-04-10 |
| ANNUAL REPORT | 2016-03-13 |
| ANNUAL REPORT | 2015-03-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
