| Entity Name: | ARBOR PHARMACY, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 29 Mar 2012 (13 years ago) |
| Date of dissolution: | 12 Sep 2019 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 12 Sep 2019 (5 years ago) |
| Document Number: | L12000044158 |
| FEI/EIN Number | 45-5024914 |
| Address: | 1112 ROCK SPRINGS RD, APOPKA, FL 32712 |
| Mail Address: | 1112 ROCK SPRINGS RD, APOPKA, FL 32712 |
| ZIP code: | 32712 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396090056 | 2012-07-18 | 2018-07-19 | 1112 ROCK SPRINGS RD, APOPKA, FL, 327122387, US | 1112 ROCK SPRINGS RD, APOPKA, FL, 327122387, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-814-3977 |
| Fax | 4078143971 |
Authorized person
| Name | DUC-TU TRAN |
| Role | CEO/PHARMACY MANAGER |
| Phone | 4078143977 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH26253 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 006728800 |
| State | FL |
| Issuer | PK |
| Number | 2136116 |
| Name | Role | Address |
|---|---|---|
| TRAN, DUC-TU | Agent | 1112 Rock Springs Rd, APOPKA, FL 32712 |
| Name | Role | Address |
|---|---|---|
| TRAN, DUC-TU | Manager | 1112 Rock Springs, APOPKA, FL 32712 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-09-12 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-02-13 | 1112 Rock Springs Rd, APOPKA, FL 32712 | No data |
| CHANGE OF MAILING ADDRESS | 2013-03-25 | 1112 ROCK SPRINGS RD, APOPKA, FL 32712 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-17 | 1112 ROCK SPRINGS RD, APOPKA, FL 32712 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2019-09-12 |
| ANNUAL REPORT | 2019-03-13 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-02-15 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-02-13 |
| ANNUAL REPORT | 2014-02-15 |
| ANNUAL REPORT | 2013-03-25 |
| Florida Limited Liability | 2012-03-29 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
