| Entity Name: | K & M DRUGS FORT MYERS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Jun 2015 (10 years ago) |
| Document Number: | L15000112374 |
| FEI/EIN Number | 474445195 |
| Mail Address: | 149 W HICKPOCHEE AVENUE, LABELLE, FL, 33935, US |
| Address: | 14651 PALM BEACH BLVD, 102, FT. MYERS, FL, 33905, US |
| ZIP code: | 33905 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679947683 | 2015-11-16 | 2016-01-22 | 149 W HICKPOCHEE AVE, LABELLE, FL, 339354753, US | 14651 PALM BEACH BLVD, FORT MYERS, FL, 339052331, US | |||||||||||||||||||||||||||||||
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| Phone | +1 863-675-0004 |
| Fax | 8636756048 |
| Phone | +1 239-689-5788 |
| Fax | 2396895822 |
Authorized person
| Name | AYMAN KAKI |
| Role | OWNER, AO |
| Phone | 5613016686 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH29412 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2155467 |
| Name | Role | Address |
|---|---|---|
| KAKI AYMAN | Agent | 340 E SUGARLAND HWY, CLEWISTON, FL, 33440 |
| Name | Role | Address |
|---|---|---|
| KAKI AYMAN | Manager | 340 E SUGARLAND HWY, CLEWISTON, FL, 33440 |
| KAKI HAITHAM | Manager | 340 E SUGARLAND HWY, CLEWISTON, FL, 33440 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-01-13 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-06 |
| ANNUAL REPORT | 2020-01-08 |
| ANNUAL REPORT | 2019-01-04 |
| ANNUAL REPORT | 2018-01-08 |
| ANNUAL REPORT | 2017-01-18 |
| ANNUAL REPORT | 2016-02-05 |
| Florida Limited Liability | 2015-06-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
