| Entity Name: | SA DRUGS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SA DRUGS LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 22 Sep 2011 (14 years ago) |
| Date of dissolution: | 03 Apr 2016 (9 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 03 Apr 2016 (9 years ago) |
| Document Number: | L11000108614 |
| FEI/EIN Number |
453357842
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 115 NW SANTA FE BLVD, HIGH SPRINGS, FL, 32643 |
| Mail Address: | 115 NW SANTA FE BLVD, HIGH SPRINGS, FL, 32643 |
| ZIP code: | 32643 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750654711 | 2012-02-21 | 2013-03-13 | 13207 THOMASVILLE CIR APT D, TAMPA, FL, 336179507, US | 115 NW SANTA FE BLVD, HIGH SPRINGS, FL, 326434301, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 386-454-7768 |
Authorized person
| Name | RAJASEKARAN MANI |
| Role | MANAGER |
| Phone | 2392460796 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH25943 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 005462300 |
| State | FL |
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5709172 |
| Name | Role | Address |
|---|---|---|
| MANI RAJASEKARAN | Managing Member | 115 NW SANTA FE BLVD, HIGH SPRINGS, FL, 32643 |
| MANI RAJASEKARAN | Agent | 115 NW SANTA FE BLVD, HIGH SPRINGS, FL, 32643 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000101184 | CITY DRUGS | EXPIRED | 2011-10-13 | 2016-12-31 | - | 115 NW SANTA FE BLVD, HIGH SPRINGS, FL, 32643 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2016-04-03 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2014-03-09 | 115 NW SANTA FE BLVD, HIGH SPRINGS, FL 32643 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-05 | 115 NW SANTA FE BLVD, HIGH SPRINGS, FL 32643 | - |
| CHANGE OF MAILING ADDRESS | 2012-04-05 | 115 NW SANTA FE BLVD, HIGH SPRINGS, FL 32643 | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2016-04-03 |
| ANNUAL REPORT | 2015-04-03 |
| ANNUAL REPORT | 2014-03-09 |
| ANNUAL REPORT | 2013-03-30 |
| ANNUAL REPORT | 2012-04-05 |
| Florida Limited Liability | 2011-09-22 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
