| Entity Name: | GOLDEN HILLS PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Dec 2013 (11 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 29 Jul 2024 (6 months ago) |
| Document Number: | L13000167613 |
| FEI/EIN Number | 46-4179208 |
| Address: | 2053 N. UNIVERSITY DR, SUNRISE, FL, 33322, US |
| Mail Address: | 2053 N. UNIVERSITY DR, SUNRISE, FL, 33322, US |
| ZIP code: | 33322 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982028551 | 2014-02-18 | 2022-09-12 | 2053 N UNIVERSITY DR, SUNRISE, FL, 333223936, US | 2053 N UNIVERSITY DR, SUNRISE, FL, 333223936, US | |||||||||||||||||||||||||||||||
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| Phone | +1 954-399-2250 |
| Fax | 3523511060 |
| Phone | +1 352-351-3784 |
Authorized person
| Name | MR. ROBERT HOPTA |
| Role | OWNER |
| Phone | 9543992250 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 43699 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 012047000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HOPTA ROBERT | Agent | 2053 N. UNIVERSITY DR, SUNRISE, FL, 33322 |
| Name | Role | Address |
|---|---|---|
| HOPTA ROBERT | Managing Member | 2053 N. UNIVERSITY DR, SUNRISE, FL, 33322 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-07-29 | HOPTA, ROBERT | No data |
| REINSTATEMENT | 2024-07-29 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-02 | 2053 N. UNIVERSITY DR, SUNRISE, FL 33322 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-02 | 2053 N. UNIVERSITY DR, SUNRISE, FL 33322 | No data |
| LC AMENDMENT | 2022-02-02 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-02 | 2053 N. UNIVERSITY DR, SUNRISE, FL 33322 | No data |
| LC STMNT OF RA/RO CHG | 2021-06-09 | No data | No data |
| LC AMENDMENT | 2020-09-10 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-07-29 |
| ANNUAL REPORT | 2022-05-01 |
| LC Amendment | 2022-02-02 |
| CORLCRACHG | 2021-06-09 |
| ANNUAL REPORT | 2021-04-28 |
| LC Amendment | 2020-09-10 |
| ANNUAL REPORT | 2020-06-01 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-04-28 |
| ANNUAL REPORT | 2017-04-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
