| Entity Name: | MY PHARMACY OF TAMPA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Nov 2010 (14 years ago) |
| Document Number: | L10000118999 |
| FEI/EIN Number | 273971422 |
| Address: | 7108 CAUSEWAY BOULEVARD, TAMPA, FL, 33619 |
| Mail Address: | 7108 CAUSEWAY BLVD, TAMPA, FL, 33619, US |
| ZIP code: | 33619 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457656373 | 2011-01-24 | 2015-03-31 | 5002 TARI STREAM WAY, BRANDON, FL, 335118416, US | 7108 CAUSEWAY BLVD, TAMPA, FL, 336196364, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 813-689-7580 |
| Phone | +1 813-628-4441 |
| Fax | 8136284442 |
Authorized person
| Name | TIN NGUYEN |
| Role | PHARMACY MANAGER |
| Phone | 7276927584 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH25203 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2128620 |
| Name | Role | Address |
|---|---|---|
| NGUYEN TIN H | Agent | 7108 CAUSEWAY BLVD, TAMPA, FL, 33619 |
| Name | Role | Address |
|---|---|---|
| NGUYEN TIN H | Managing Member | 7108 CAUSEWAY BLVD, TAMPA, FL, 33619 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-01-08 | 7108 CAUSEWAY BOULEVARD, TAMPA, FL 33619 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-08 | 7108 CAUSEWAY BLVD, TAMPA, FL 33619 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-05-01 | NGUYEN, TIN H | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-15 |
| ANNUAL REPORT | 2024-01-08 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-02-12 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-11 |
| ANNUAL REPORT | 2017-01-25 |
| ANNUAL REPORT | 2016-03-09 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
