| Entity Name: | PHAMILY PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
PHAMILY PHARMACY LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 04 Feb 2016 (9 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 21 Mar 2016 (9 years ago) |
| Document Number: | L16000030472 |
| FEI/EIN Number |
81-1471729
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 407 W OAK ST, KISSIMMEE, FL 34741 |
| Mail Address: | 407 W OAK ST, KISSIMMEE, FL 34741 |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629423074 | 2016-05-03 | 2021-06-02 | 407 W OAK ST, KISSIMMEE, FL, 347414931, US | 407 W OAK ST, KISSIMMEE, FL, 347414931, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 407-201-4348 |
| Fax | 4072014737 |
Authorized person
| Name | DALE PHAM |
| Role | OWNER/PIC/AO |
| Phone | 3219450410 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH30102 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2159920 |
| Issuer | MEDICAID |
| Number | 019295600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PHAM, DALE | Agent | 12516 PICA ST, ORLANDO, FL 32837 |
| PHAM, JOHNATHAN | Authorized Member | 12516 PICA ST, ORLANDO, FL 32837 |
| PHAM, KAILEE | Authorized Member | 12516 PICA ST, ORLANDO, FL 32837 |
| PHAM, DALE | Manager | 12516 PICA ST, ORLANDO, FL 32837 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2018-03-21 | 407 W OAK ST, KISSIMMEE, FL 34741 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2016-05-13 | 407 W OAK ST, KISSIMMEE, FL 34741 | - |
| LC AMENDMENT | 2016-03-21 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-03-31 |
| ANNUAL REPORT | 2021-03-29 |
| ANNUAL REPORT | 2020-03-25 |
| ANNUAL REPORT | 2019-03-18 |
| ANNUAL REPORT | 2018-03-21 |
| ANNUAL REPORT | 2017-03-10 |
| LC Amendment | 2016-03-21 |
| Florida Limited Liability | 2016-02-04 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2871547204 | 2020-04-16 | 0455 | PPP | 407 OAK ST, KISSIMMEE, FL, 34741 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7037298307 | 2021-01-27 | 0455 | PPS | 407 W Oak St, Kissimmee, FL, 34741-4931 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 19 Feb 2025
Sources: Florida Department of State
