| Entity Name: | MEDLIFE PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 May 2015 (10 years ago) |
| Document Number: | L15000093729 |
| FEI/EIN Number | 47-4135987 |
| Address: | 736 s dillard street, winter garden, FL 34787 |
| Mail Address: | 736 s dillard street, winter garden, FL 34787 |
| ZIP code: | 34787 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154177780 | 2024-04-25 | 2024-04-25 | 736 S DILLARD ST STE C, WINTER GARDEN, FL, 347873975, US | 736 S DILLARD ST STE C, WINTER GARDEN, FL, 347873975, US | |||||||||||||||
|
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| Phone | +1 407-656-2604 |
| Fax | 4076541464 |
Authorized person
| Name | VAMSEE CHARAN NALAGANDLA |
| Role | PHARMACY MANAGER |
| Phone | 4073434434 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Gulati Law,PL | Agent | 479 Montgomery PL, Altamonte Springs, FL 32714 |
| Name | Role | Address |
|---|---|---|
| nalagandla, vamsee charan | Vice President | 736 s dillard street, winter garden, FL 34787 |
| Name | Role | Address |
|---|---|---|
| Kolla , Ajay | Member | 736 s dillard street, winter garden, FL 34787 |
| Shakhamoori, Sowjanya | Member | 736 s dillard street, winter garden, FL 34787 |
| Name | Role | Address |
|---|---|---|
| Kondapalli , Siva rama Krishna | mbr | 736 s dillard street, winter garden, FL 34787 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000023757 | WINTER GARDEN PHARMACY | ACTIVE | 2021-02-18 | 2026-12-31 | No data | 736 S DILLARD STREET, WINTER GARDEN, FL, 34787 |
| G15000101452 | WINTER GARDEN PHARMACY LLC | EXPIRED | 2015-10-03 | 2020-12-31 | No data | 13521 BELLARIA CIR, WINDERMERE, FL, 34786 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-04-11 | Gulati Law,PL | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-11 | 479 Montgomery PL, Altamonte Springs, FL 32714 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-25 | 736 s dillard street, winter garden, FL 34787 | No data |
| CHANGE OF MAILING ADDRESS | 2016-03-25 | 736 s dillard street, winter garden, FL 34787 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| ANNUAL REPORT | 2023-03-11 |
| ANNUAL REPORT | 2022-04-16 |
| ANNUAL REPORT | 2021-04-11 |
| ANNUAL REPORT | 2020-04-10 |
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-03-01 |
| ANNUAL REPORT | 2017-01-04 |
| ANNUAL REPORT | 2016-03-25 |
| Florida Limited Liability | 2015-05-28 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
