| Entity Name: | TAQUECHEL PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Jun 2016 (9 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 24 May 2019 (6 years ago) |
| Document Number: | L16000108285 |
| FEI/EIN Number | 81-2999896 |
| Address: | 20920 W DIXIE HWY, Aventura, FL, 33180, US |
| Mail Address: | 20920 W DIXIE HWY, Aventura, FL, 33180, US |
| ZIP code: | 33180 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750838967 | 2016-09-06 | 2022-07-21 | 18145 BISCAYNE BLVD, AVENTURA, FL, 331602535, US | 18145 BISCAYNE BLVD, AVENTURA, FL, 331602535, US | |||||||||||||||||||||||||||
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| Phone | +1 786-431-1800 |
| Fax | 7864311652 |
Authorized person
| Name | RENATA KATAYEV |
| Role | PHARMACIST IN CHARGE |
| Phone | 7864311800 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH30345 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2170981 |
| Name | Role | Address |
|---|---|---|
| DAVID IBRAGIMOV | Agent | 19101 MYSTIC POINTE DR, Aventura, FL, 33180 |
| Name | Role | Address |
|---|---|---|
| IBRAGIMOV DAVID | Authorized Member | 18145 Biscayne Blvd, Aventura, FL, 33160 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-12-16 | 20920 W DIXIE HWY, Aventura, FL 33180 | No data |
| CHANGE OF MAILING ADDRESS | 2024-12-16 | 20920 W DIXIE HWY, Aventura, FL 33180 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-12-16 | DAVID , IBRAGIMOV | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-12-16 | 19101 MYSTIC POINTE DR, 1809, Aventura, FL 33180 | No data |
| LC AMENDMENT | 2019-05-24 | No data | No data |
| LC AMENDMENT | 2016-06-23 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-12-16 |
| ANNUAL REPORT | 2024-04-05 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-04-04 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-04-04 |
| LC Amendment | 2019-05-24 |
| ANNUAL REPORT | 2019-02-28 |
| ANNUAL REPORT | 2018-04-20 |
| ANNUAL REPORT | 2017-04-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
