| Entity Name: | APOTHECARY PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Sep 2010 (14 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 18 Oct 2010 (14 years ago) |
| Document Number: | L10000094069 |
| FEI/EIN Number | 273473808 |
| Address: | 4749 34TH STREET SOUTH, ST. PETERSBURG, FL, 33711-2068, US |
| Mail Address: | 4749 34TH STREET SOUTH, ST. PETERSBURG, FL, 33711-2068, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154624856 | 2010-12-19 | 2017-03-27 | 4749 34TH ST S, SAINT PETERSBURG, FL, 337114507, US | 4749 34TH ST S, ST PETERSBURG, FL, 337114507, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 727-329-8868 |
| Fax | 7273298662 |
Authorized person
| Name | SAHAR SALAME |
| Role | OWNER/PRESIDENT |
| Phone | 7273298868 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH25139 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003180800 |
| State | FL |
| Issuer | PK |
| Number | 2128161 |
| Name | Role | Address |
|---|---|---|
| SALAME SAHAR A | Agent | 4749 34TH STREET SOUTH, ST. PETERSBURG, FL, 33711 |
| Name | Role | Address |
|---|---|---|
| SALAME SAHAR A | Managing Member | 4749 34TH ST S., ST. PETERSBURG, FL, 33711 |
| BAYDOUN EMAD H | Managing Member | 4749 34TH ST SOUTH, ST PETERSBURG, FL, 33711 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000096989 | BAYDOUN PHARMACY | ACTIVE | 2010-10-22 | 2025-12-31 | No data | 4749 34TH STREET SOUTH, ST PETERSBURG, FL, 33711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2011-02-09 | 4749 34TH STREET SOUTH, ST. PETERSBURG, FL 33711 | No data |
| LC AMENDMENT | 2010-10-18 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-10-18 | 4749 34TH STREET SOUTH, ST. PETERSBURG, FL 33711-2068 | No data |
| CHANGE OF MAILING ADDRESS | 2010-10-18 | 4749 34TH STREET SOUTH, ST. PETERSBURG, FL 33711-2068 | No data |
| LC ARTICLE OF CORRECTION | 2010-10-01 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-06-14 |
| ANNUAL REPORT | 2019-04-07 |
| ANNUAL REPORT | 2018-03-25 |
| ANNUAL REPORT | 2017-03-09 |
| ANNUAL REPORT | 2016-03-10 |
| ANNUAL REPORT | 2015-03-25 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
