| Entity Name: | GASTRO PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 02 Sep 2015 (9 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L15000150995 |
| FEI/EIN Number | 47-4468119 |
| Address: | 3901 66TH STREET N, SUITE 201, ST. PETERSBURG, FL 33709 |
| Mail Address: | 3901 66TH STREET N, SUITE 201, ST. PETERSBURG, FL 33709 |
| ZIP code: | 33709 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528427226 | 2016-02-23 | 2016-02-23 | 3901 66TH ST N, SUITE 201, ST PETERSBURG, FL, 337094949, US | 3901 66TH ST N, SUITE 201, ST PETERSBURG, FL, 337094949, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 727-345-5500 |
Authorized person
| Name | DR. ABHITABH PATIL |
| Role | OWNER |
| Phone | 7273455500 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME112424 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001174000 |
| State | FL |
| Issuer | NPI |
| Number | 1346371085 |
| Name | Role | Address |
|---|---|---|
| CHECHELE, SAMANTHA | Agent | 7127 1ST AVENUE S, ST. PETERSBURG, FL 33707 |
| Name | Role | Address |
|---|---|---|
| DESAI, CHETAN | Manager | 3901 66TH STREET N #201, ST. PETERSBURG, FL 33709 |
| JACOB, POTHEN | Manager | 3901 66TH STREET N #201, ST. PETERSBURG, FL 33709 |
| PATIL, ABHITABH | Manager | 3901 66TH STREET N #201, ST. PETERSBURG, FL 33709 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-02-05 |
| Florida Limited Liability | 2015-09-02 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
