| Entity Name: | DIRECT RETAIL PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Jun 2014 (11 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 11 Aug 2015 (9 years ago) |
| Document Number: | L14000098164 |
| FEI/EIN Number | 47-1228465 |
| Address: | 5050 SOUTH CONWAY RD, ORLANDO, FL, 32812, US |
| Mail Address: | 5050 SOUTH CONWAY RD, ORLANDO, FL, 32812, US |
| ZIP code: | 32812 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518366319 | 2014-08-18 | 2024-01-10 | 5060 S CONWAY RD STE #1, ORLANDO, FL, 32812, US | 5060 S CONWAY RD STE #1, ORLANDO, FL, 32812, US | |||||||||||||||||||||||||||||
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| Phone | +1 407-203-0005 |
| Fax | 4074805355 |
Authorized person
| Name | MR. AN DUC DANG |
| Role | PHARMACIST/OWNER |
| Phone | 4074061447 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PSS50205 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 013810000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DANG AN D | Agent | 5050 SOUTH CONWAY RD, ORLANDO, FL, 32812 |
| Name | Role | Address |
|---|---|---|
| DANG AN D | Manager | 10273 Hart Branch Cir, ORLANDO, FL, 32832 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-26 | 5050 SOUTH CONWAY RD, 1, ORLANDO, FL 32812 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-26 | 5050 SOUTH CONWAY RD, 1, ORLANDO, FL 32812 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-26 | 5050 SOUTH CONWAY RD, 1, ORLANDO, FL 32812 | No data |
| REINSTATEMENT | 2016-01-20 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| LC NAME CHANGE | 2015-08-11 | DIRECT RETAIL PHARMACY LLC | No data |
| REGISTERED AGENT NAME CHANGED | 2014-07-03 | DANG, AN D | No data |
| LC AMENDMENT AND NAME CHANGE | 2014-07-03 | DIRECT COMPOUND PHARMACY LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-07 |
| ANNUAL REPORT | 2020-02-05 |
| ANNUAL REPORT | 2019-02-07 |
| AMENDED ANNUAL REPORT | 2018-04-21 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-10 |
| REINSTATEMENT | 2016-01-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
