| Entity Name: | SCRIPT CHOICE PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Aug 2010 (15 years ago) |
| Document Number: | L10000082148 |
| FEI/EIN Number | 273322086 |
| Address: | 9740 North 56th St, Temple Terrace, FL, 33617, US |
| Mail Address: | 9740 North 56th St, Temple Terrace, FL, 33617, US |
| ZIP code: | 33617 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053615567 | 2010-12-28 | 2010-12-28 | 18611 LE DAUPHINE PL, LUTZ, FL, 335582886, US | 1721 W FLETCHER AVE, TAMPA, FL, 336121820, US | |||||||||||||||||||||||||||
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| Phone | +1 813-263-9055 |
| Fax | 8136005565 |
| Phone | +1 813-374-9944 |
| Fax | 8133749945 |
Authorized person
| Name | MINH DOAN HA |
| Role | PHARMACIST IN CHARGE |
| Phone | 8133749944 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH25137 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5703358 |
| Name | Role | Address |
|---|---|---|
| NGUYEN TU | Agent | 1721 W FLETCHER AVE, TAMPA, FL, 33612 |
| Name | Role | Address |
|---|---|---|
| NGUYEN TU | Managing Member | 9740 North 56th St, Temple Terrace, FL, 33617 |
| Name | Role | Address |
|---|---|---|
| HA MINH DOAN | Manager | 9740 North 56th St, Temple Terrace, FL, 33617 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-08-16 | 9740 North 56th St, A, Temple Terrace, FL 33617 | No data |
| CHANGE OF MAILING ADDRESS | 2019-08-16 | 9740 North 56th St, A, Temple Terrace, FL 33617 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-04-30 | 1721 W FLETCHER AVE, TAMPA, FL 33612 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-21 |
| ANNUAL REPORT | 2023-04-04 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-05-04 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-08-16 |
| ANNUAL REPORT | 2018-05-09 |
| ANNUAL REPORT | 2017-04-12 |
| ANNUAL REPORT | 2016-06-01 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
