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MILLENNIUM SPECIALTY PHARMACY LLC

Company Details

Entity Name: MILLENNIUM SPECIALTY PHARMACY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 06 Aug 2015 (10 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 11 Oct 2016 (8 years ago)
Document Number: L15000134186
FEI/EIN Number 81-3433375
Address: 100 S. Orlando Avenue, Winter Park, FL, 32789, US
Mail Address: 100 S. Orlando Avenue, Winter Park, FL, 32789, US
ZIP code: 32789
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225575020 2017-01-31 2017-02-20 110 S ORLANDO AVE STE 5, WINTER PARK, FL, 327893656, US 110 S ORLANDO AVE STE 5, WINTER PARK, FL, 327893656, US

Contacts

Phone +1 407-616-1327

Authorized person

Name TAM TU
Role PHARMACIST/OWNER
Phone 4076161327

Taxonomy

Taxonomy Code 333600000X - Pharmacy
License Number PH30593
State FL
Is Primary Yes
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
Is Primary No
Taxonomy Code 3336C0004X - Compounding Pharmacy
Is Primary No

Other Provider Identifiers

Issuer PK
Number 2167636

Agent

Name Role Address
TU Diep Agent 100 S. Orlando Avenue, Winter Park, FL, 32789

Chief Executive Officer

Name Role Address
TU TAM Chief Executive Officer 100 S. Orlando Avenue, Winter Park, FL, 32789

Manager

Name Role Address
Tu Diep T Manager 239 Calliope St, Ocoee, FL, 34761

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-01-11 TU, Diep No data
CHANGE OF PRINCIPAL ADDRESS 2018-02-19 100 S. Orlando Avenue, 5, Winter Park, FL 32789 No data
CHANGE OF MAILING ADDRESS 2018-02-19 100 S. Orlando Avenue, 5, Winter Park, FL 32789 No data
REGISTERED AGENT ADDRESS CHANGED 2018-02-19 100 S. Orlando Avenue, 5, Winter Park, FL 32789 No data
REINSTATEMENT 2016-10-11 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-11
ANNUAL REPORT 2023-01-10
ANNUAL REPORT 2022-01-14
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-13
ANNUAL REPORT 2019-02-10
ANNUAL REPORT 2018-02-19
ANNUAL REPORT 2017-02-09
REINSTATEMENT 2016-10-11
Florida Limited Liability 2015-08-06

Date of last update: 02 Feb 2025

Sources: Florida Department of State