| Entity Name: | PAS RX LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 30 Aug 2010 (14 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | L10000090599 |
| Address: | 2224 SR 60 E, VALRICO, FL, 33594 |
| Mail Address: | 1108 CAMPHOR GLEN CT, VALRICO, FL, 33594 |
| ZIP code: | 33594 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548560725 | 2010-10-22 | 2010-11-24 | 2224 STATE ROAD 60 E, VALRICO, FL, 335943703, US | 2224 STATE ROAD 60 E, VALRICO, FL, 335943703, US | |||||||||||||||||||||||
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| Phone | +1 813-681-7800 |
| Fax | 8136817833 |
Authorized person
| Name | PARAG SHAH |
| Role | OWNER/MANAGER |
| Phone | 8138576286 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH24981 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5702697 |
| Name | Role | Address |
|---|---|---|
| SHAH PARAG B | Agent | 1108 CAMPHOR GLEN CT, VALRICO, FL, 33594 |
| Name | Role | Address |
|---|---|---|
| SHAH PARAG B | Manager | 1108 CAMPHOR GLEN CT, VALRICO, FL, 33594 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000105075 | HEALTH MART PHARMACY | EXPIRED | 2010-11-16 | 2015-12-31 | No data | 1108 CAMPHOR GLEN CT, VALRICO, FL, 33594 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2010-08-30 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
