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SA DRUGS LLC

Company Details

Entity Name: SA DRUGS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 22 Sep 2011 (13 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 45-3357842
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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
MANI, RAJASEKARAN Agent 115 NW SANTA FE BLVD, HIGH SPRINGS, FL 32643

Managing Member

Name Role Address
MANI, RAJASEKARAN Managing Member 115 NW SANTA FE BLVD, HIGH SPRINGS, FL 32643

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G11000101184 CITY DRUGS EXPIRED 2011-10-13 2016-12-31 No data 115 NW SANTA FE BLVD, HIGH SPRINGS, FL, 32643

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2016-04-03 No data No data
REGISTERED AGENT ADDRESS CHANGED 2014-03-09 115 NW SANTA FE BLVD, HIGH SPRINGS, FL 32643 No data
CHANGE OF PRINCIPAL ADDRESS 2012-04-05 115 NW SANTA FE BLVD, HIGH SPRINGS, FL 32643 No data
CHANGE OF MAILING ADDRESS 2012-04-05 115 NW SANTA FE BLVD, HIGH SPRINGS, FL 32643 No data

Documents

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: 24 Jan 2025

Sources: Florida Department of State