Entity Name: | BALAJI PHARMA LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 12 Nov 2010 (14 years ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 08 Dec 2022 (2 years ago) |
Document Number: | L10000117691 |
FEI/EIN Number | 27-3949273 |
Address: | 162 N PARSONS AVE, BRANDON, FL 33510 |
Mail Address: | 162 N PARSONS AVE, BRANDON, FL 33510 |
ZIP code: | 33510 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1699079756 | 2011-01-04 | 2023-03-07 | 162 N PARSONS AVE, BRANDON, FL, 33510, US | 162 N PARSONS AVE, BRANDON, FL, 33510, US | |||||||||||||||||||
|
Phone | +1 813-689-7700 |
Fax | 8136897705 |
Authorized person
Name | MERINA SHAH |
Role | OWNER |
Phone | 8136897700 |
Taxonomy
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
License Number | PH25168 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
MUSCA, DANIEL G | Agent | 2445 TAMPA ROAD, SUITE I, PALM HARBOR, FL 34683 |
Name | Role | Address |
---|---|---|
SHAH, MERINA | Manager | 162 N. PARSONS AVENUE, BRANDON, FL 33510 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G19000025503 | PALM PLAZA PHARMACY | EXPIRED | 2019-02-21 | 2024-12-31 | No data | 162 N PARSONS AVE, BRANDON, FL, 33510 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2023-01-05 | MUSCA, DANIEL G | No data |
LC AMENDMENT | 2022-12-08 | No data | No data |
REGISTERED AGENT ADDRESS CHANGED | 2022-12-08 | 2445 TAMPA ROAD, SUITE I, PALM HARBOR, FL 34683 | No data |
LC AMENDMENT | 2019-02-13 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2013-12-05 | 162 N PARSONS AVE, BRANDON, FL 33510 | No data |
CHANGE OF MAILING ADDRESS | 2013-12-05 | 162 N PARSONS AVE, BRANDON, FL 33510 | No data |
LC AMENDMENT | 2011-03-14 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2025-01-23 |
ANNUAL REPORT | 2024-01-22 |
ANNUAL REPORT | 2023-01-05 |
ANNUAL REPORT | 2022-01-12 |
ANNUAL REPORT | 2021-01-11 |
ANNUAL REPORT | 2020-02-27 |
ANNUAL REPORT | 2019-02-16 |
LC Amendment | 2019-02-13 |
ANNUAL REPORT | 2018-01-22 |
ANNUAL REPORT | 2017-01-03 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State