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  5. WEST PALM PHARMACY, LLC

WEST PALM PHARMACY, LLC - Florida Company Profile

Company Details

Entity Name: WEST PALM PHARMACY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

WEST PALM PHARMACY, 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 10 Oct 2011 (13 years ago)
Document Number: L11000115483
FEI/EIN Number 453576695

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 5760 OKEECHOBEE BLVD, WEST PALM BEACH, FL, 33417
Mail Address: 5760 OKEECHOBEE BLVD, WEST PALM BEACH, FL, 33417
ZIP code: 33417
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619246378 2011-12-23 2012-11-29 5760 OKEECHOBEE BLVD, WEST PALM BEACH, FL, 334174343, US 5760 OKEECHOBEE BLVD, WEST PALM BEACH, FL, 334174343, US

Contacts
Phone +1 561-249-2130
Fax 5612492104

Authorized person
Name SALIM SOUFAN
Role PHARMACIST/OWNER
Phone 5612492130

Taxonomy
Taxonomy Code 333600000X - Pharmacy
Is Primary No
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number PH25847
State FL
Is Primary Yes

Other Provider Identifiers
Issuer NCPDP PROVIDER IDENTIFICATION NUMBER
Number 5708485

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WEST PALM PHARMACY LLC 2023 453576695 2024-05-26 WEST PALM PHARMACY LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-02-01
Business code 325410
Sponsor’s telephone number 5612492130
Plan sponsor’s address 5760 OKEECHOBEE BLVD, WEST PALM BEACH, FL, 33417

Signature of
Role Plan administrator
Date 2024-05-26
Name of individual signing SALIM SOUFAN
Valid signature Filed with authorized/valid electronic signature
WEST PALM PHARMACY LLC 2022 453576695 2023-10-08 WEST PALM PHARMACY LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-02-01
Business code 325410
Sponsor’s telephone number 5612492130
Plan sponsor’s address 5760 OKEECHOBEE BLVD, WEST PALM BEACH, FL, 33417

Signature of
Role Plan administrator
Date 2023-10-08
Name of individual signing SALIM SOUFAN
Valid signature Filed with authorized/valid electronic signature
WEST PALM PHARMACY LLC 2021 453576695 2022-07-11 WEST PALM PHARMACY LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-02-01
Business code 325410
Sponsor’s telephone number 5612492130
Plan sponsor’s address 5760 OKEECHOBEE BLVD, WEST PALM BEACH, FL, 33417

Signature of
Role Plan administrator
Date 2022-07-11
Name of individual signing SALIM SOUFAN
Valid signature Filed with authorized/valid electronic signature
WEST PALM PHARMACY LLC 2020 453576695 2021-07-22 WEST PALM PHARMACY LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-02-01
Business code 325410
Sponsor’s telephone number 5612492130
Plan sponsor’s address 5760 OKEECHOBEE BLVD, WEST PALM BEACH, FL, 33417

Signature of
Role Plan administrator
Date 2021-07-22
Name of individual signing SALIM SOUFAN
Valid signature Filed with authorized/valid electronic signature
WEST PALM PHARMACY LLC 2019 453576695 2020-06-30 WEST PALM PHARMACY LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-02-01
Business code 325410
Sponsor’s telephone number 5612492130
Plan sponsor’s address 5760 OKEECHOBEE BLVD, WEST PALM BEACH, FL, 33417

Signature of
Role Plan administrator
Date 2020-06-30
Name of individual signing SALIM SOUFAN
Valid signature Filed with authorized/valid electronic signature
WEST PALM PHARMACY LLC 2019 453576695 2020-06-19 WEST PALM PHARMACY LLC 3
Three-digit plan number (PN) 001
Effective date of plan 2017-02-01
Business code 325410
Sponsor’s telephone number 5612492130
Plan sponsor’s address 5760 OKEECHOBEE BLVD, WEST PALM BEACH, FL, 33417

Signature of
Role Plan administrator
Date 2020-06-19
Name of individual signing SSOUFAN1965
Valid signature Filed with authorized/valid electronic signature
WEST PALM PHARMACY LLC 2018 453576695 2019-10-31 WEST PALM PHARMACY LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-02-01
Business code 325410
Sponsor’s telephone number 5612492130
Plan sponsor’s address 5760 OKEECHOBEE BLVD, WEST PALM BEACH, FL, 33417

Signature of
Role Plan administrator
Date 2019-10-31
Name of individual signing SALIM SOUFAN
Valid signature Filed with authorized/valid electronic signature
WEST PALM PHARMACY LLC 2018 453576695 2019-10-23 WEST PALM PHARMACY LLC 2
Three-digit plan number (PN) 001
Effective date of plan 2017-02-01
Business code 325410
Sponsor’s telephone number 5612492130
Plan sponsor’s address 5760 OKEECHOBEE BLVD, WEST PALM BEACH, FL, 33417

Signature of
Role Plan administrator
Date 2019-10-23
Name of individual signing SALIM SOUFAN
Valid signature Filed with authorized/valid electronic signature
WEST PALM PHARMACY LLC 2018 453576695 2019-10-22 WEST PALM PHARMACY LLC 2
Three-digit plan number (PN) 001
Effective date of plan 2017-02-01
Business code 325410
Sponsor’s telephone number 5612492130
Plan sponsor’s address 5760 OKEECHOBEE BLVD, WEST PALM BEACH, FL, 33417

Signature of
Role Plan administrator
Date 2019-10-22
Name of individual signing SALIM SOUFAN
Valid signature Filed with authorized/valid electronic signature
WEST PALM PHARMACY LLC 2017 453576695 2019-10-31 WEST PALM PHARMACY LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-02-01
Business code 325410
Sponsor’s telephone number 5612492130
Plan sponsor’s address 5760 OKEECHOBEE BLVD, WEST PALM BEACH, FL, 33417

Signature of
Role Plan administrator
Date 2019-10-31
Name of individual signing SALIM SOUFAN
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
SOUFAN SALIM Managing Member 5760 OKEECHOBEE BLVD, WEST PALM BEACH, FL, 33417
O'Connor Paul Manager 5760 OKEECHOBEE BLVD, WEST PALM BEACH, FL, 33417
SOUFAN SALIM Agent 8552 THOUSAND PINES COURT, WEST PALM BEACH, FL, 33411

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2018-01-23 8552 THOUSAND PINES COURT, WEST PALM BEACH, FL 33411 -

Documents

Name Date
ANNUAL REPORT 2025-02-05
ANNUAL REPORT 2024-02-01
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-01-22
ANNUAL REPORT 2021-01-19
ANNUAL REPORT 2020-03-18
ANNUAL REPORT 2019-02-13
ANNUAL REPORT 2018-01-23
ANNUAL REPORT 2017-04-27
ANNUAL REPORT 2016-02-29

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4974757406 2020-05-11 0455 PPP 5760 OKEECHOBEE BLVD, WEST PALM BEACH, FL, 33417
Loan Status Date 2022-07-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 31622
Loan Approval Amount (current) 31622
Undisbursed Amount 0
Franchise Name -
Lender Location ID 58036
Servicing Lender Name Fifth Third Bank
Servicing Lender Address 38 Fountain Sq Plz, CINCINNATI, OH, 45263
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address WEST PALM BEACH, PALM BEACH, FL, 33417-1000
Project Congressional District FL-21
Number of Employees 7
NAICS code 446110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 58036
Originating Lender Name Fifth Third Bank
Originating Lender Address CINCINNATI, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 32277.28
Forgiveness Paid Date 2022-06-09

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O'Connor Paul

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Companies related by address

5760 OKEECHOBEE BLVD, WEST PALM BEACH, FL, 33417

S&P PHARMACEUTICAL MANAGEMENT, INC.

5760 OKEECHOBEE BLVD, WEST PALM BEACH, FL, 33417

S&P PHARMACEUTICAL MANAGEMENT, INC.

Date of last update: 01 Mar 2025

Sources: Florida Department of State

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