| Entity Name: | NORTH MAIN PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 27 Mar 2012 (13 years ago) |
| Date of dissolution: | 27 Apr 2017 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 27 Apr 2017 (8 years ago) |
| Document Number: | L12000042293 |
| FEI/EIN Number | 46-1174411 |
| Address: | 12405 NORTH MAIN STREET, 3, JACKSONVILLE, FL, 32218 |
| Mail Address: | 12405 NORTH MAIN STREET, STE 3, JACKSONVILLE, FL, 32218, US |
| ZIP code: | 32218 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619223351 | 2012-07-31 | 2013-02-21 | 12405 NORTH MAIN STREET, SUITE 3, JACKSONVILLE, FL, 32218, US | 12405 N MAIN ST STE 3, JACKSONVILLE, FL, 322182609, US | |||||||||||||||||||||
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| Phone | +1 904-696-0265 |
Authorized person
| Name | SANJAY RAMCHARAN |
| Role | MANAGER |
| Phone | 9046960265 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH26273 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5711177 |
| Name | Role | Address |
|---|---|---|
| RAMCHARAN SANJAY S | Agent | 12405 NORTH MAIN STREET, JACKSONVILLE, FL, 32218 |
| Name | Role | Address |
|---|---|---|
| RAMCHARAN SANJAY S | Managing Member | 12405 NORTH MAIN STREET, JACKSONVILLE, FL, 32218 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-04-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2013-01-31 | 12405 NORTH MAIN STREET, 3, JACKSONVILLE, FL 32218 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-01-31 | 12405 NORTH MAIN STREET, STE 3, JACKSONVILLE, FL 32218 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2017-04-27 |
| ANNUAL REPORT | 2016-03-07 |
| ANNUAL REPORT | 2015-01-30 |
| ANNUAL REPORT | 2014-02-26 |
| ANNUAL REPORT | 2013-01-31 |
| Florida Limited Liability | 2012-03-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
