| Entity Name: | TAMIMI PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Nov 2013 (11 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 23 Sep 2014 (10 years ago) |
| Document Number: | L13000158926 |
| FEI/EIN Number | 46-4134763 |
| Address: | 12643 N. 56th St, Temple Terrace, FL, 33617, US |
| Mail Address: | 12643 N. 56th St, Temple Terrace, FL, 33617, US |
| ZIP code: | 33617 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558755280 | 2015-03-19 | 2017-03-28 | 12643 N 56TH ST, TEMPLE TERRACE, FL, 336171221, US | 12643 N 56TH ST, TEMPLE TERRACE, FL, 336171221, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 813-515-7918 |
| Fax | 8135157925 |
Authorized person
| Name | ABDELMOTI SALHAB |
| Role | OWNER, AO |
| Phone | 8135157918 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH27365 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2150928 |
| Issuer | MEDICAID |
| Number | 014587500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SALHAB ABDELMOTI | Agent | 12643 N. 56th St, Temple Terrace, FL, 33617 |
| Name | Role | Address |
|---|---|---|
| Salhab Abdelmoti Dr. | Manager | 12643 N. 56th St, Temple Terrace, FL, 33617 |
| Salame Sahar | Manager | 12643 N. 56th St, Temple Terrace, FL, 33617 |
| Name | Role | Address |
|---|---|---|
| AbiNader Cendrella | Phar | 12643 N. 56th St, Temple Terrace, FL, 33617 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000114366 | QUALITY OTC PHARMACY | EXPIRED | 2015-11-10 | 2020-12-31 | No data | 12643 N 56TH ST, TEMPLE TERRACE, FL, 33617 |
| G13000113581 | SALHAB PHARMACY | ACTIVE | 2013-11-19 | 2028-12-31 | No data | 12643 N. 56TH STREET, TEMPLE TERRACE, FL, 33617 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-09 | 12643 N. 56th St, Temple Terrace, FL 33617 | No data |
| CHANGE OF MAILING ADDRESS | 2017-03-09 | 12643 N. 56th St, Temple Terrace, FL 33617 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-09 | 12643 N. 56th St, Temple Terrace, FL 33617 | No data |
| LC AMENDMENT | 2014-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-09-23 | SALHAB, ABDELMOTI | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-06-15 |
| ANNUAL REPORT | 2019-04-07 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-03-09 |
| ANNUAL REPORT | 2016-03-10 |
| ANNUAL REPORT | 2015-04-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
