| Entity Name: | LEGACY PARK DISCOUNT PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Dec 2010 (14 years ago) |
| Document Number: | L10000127618 |
| FEI/EIN Number | 274246246 |
| Address: | 10967 Lake Underhill Road, Orlando, FL, 32828, US |
| Mail Address: | 10967 Lake Underhill Road, Orlando, FL, 32828, US |
| ZIP code: | 32828 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184404766 | 2023-10-02 | 2023-10-04 | 10967 LAKE UNDERHILL RD STE 118, ORLANDO, FL, 328254454, US | 10967 LAKE UNDERHILL RD STE 118, ORLANDO, FL, 328254454, US | |||||||||||||||
|
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| Phone | +1 407-730-7989 |
| Fax | 4077307995 |
Authorized person
| Name | RAMESH REDDY NIMMALA |
| Role | PHARMACY MANAGER |
| Phone | 4077307989 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SMART ASHISH K | Agent | 320 Ancona Avenue, DeBary, FL, 32713 |
| Name | Role | Address |
|---|---|---|
| SMART ASHISH K | Managing Member | 2283 STONE CROSS CIRCLE, ORLANDO, FL, 32828 |
| SMART DIPTI | Managing Member | 320 Ancona Avenue, DeBary, FL, 32713 |
| Name | Role | Address |
|---|---|---|
| Ramesh Nimmala | Manager | 13137 Alderley Drive, Orlando, FL, 32832 |
| Kavya Nimmala | Manager | 13137 Alderley Drive, Orlando, FL, 32832 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-10 | 320 Ancona Avenue, DeBary, FL 32713 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-09-18 | 10967 Lake Underhill Road, SUITE 118, Orlando, FL 32828 | No data |
| CHANGE OF MAILING ADDRESS | 2020-09-18 | 10967 Lake Underhill Road, SUITE 118, Orlando, FL 32828 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-04 |
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-02-23 |
| ANNUAL REPORT | 2022-03-10 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-06-13 |
| ANNUAL REPORT | 2018-03-03 |
| ANNUAL REPORT | 2017-01-29 |
| ANNUAL REPORT | 2016-02-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
