| Entity Name: | LEGACY PHARMACY OC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Mar 2013 (12 years ago) |
| Document Number: | L13000033012 |
| FEI/EIN Number | 46-2172325 |
| Address: | 921 Town Center Drive, ORANGE CITY, FL, 32763, US |
| Mail Address: | 921 Town Center Drive, ORANGE CITY, FL, 32763, US |
| ZIP code: | 32763 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154101731 | 2023-10-02 | 2023-10-04 | 921 TOWN CENTER DR STE 100, ORANGE CITY, FL, 327638266, US | 921 TOWN CENTER DR STE 100, ORANGE CITY, FL, 327638266, US | |||||||||||||||
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| Phone | +1 386-218-4993 |
| Fax | 3862184913 |
Authorized person
| Name | DIPTIBEN SMART |
| Role | PHARMACY MANAGER |
| Phone | 3862184993 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SMART ASHISHKUMAR K | Agent | 320 ANCONA AVE, DEBARY, FL, 32713 |
| Name | Role | Address |
|---|---|---|
| Smart Ashishkumar K | Managing Member | 320 ANCONA AVE, DEBARY, FL, 32713 |
| Name | Role | Address |
|---|---|---|
| Smart Dipti | Manager | 320 Ancona Avenue, DeBary, FL, 32713 |
| Ramesh Nimmala | Manager | 13137 Alderley Drive, Orlando, FL, 32832 |
| Kavya Nimmala | Manager | 13137 Alderley Drive, Orlando, FL, 32832 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-09-27 | 921 Town Center Drive, Suite 100, ORANGE CITY, FL 32763 | No data |
| CHANGE OF MAILING ADDRESS | 2023-09-27 | 921 Town Center Drive, Suite 100, ORANGE CITY, FL 32763 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-10 | 320 ANCONA AVE, DEBARY, FL 32713 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-04 |
| ANNUAL REPORT | 2024-01-31 |
| AMENDED ANNUAL REPORT | 2023-09-27 |
| ANNUAL REPORT | 2023-02-23 |
| ANNUAL REPORT | 2022-03-10 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-06-13 |
| ANNUAL REPORT | 2018-03-03 |
| ANNUAL REPORT | 2017-01-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
