Entity Name: | PALMYRA PHARMACY LLC |
Jurisdiction: | FLORIDA |
Filing Type: |
Florida Limited Liability Co.
PALMYRA 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: | 05 Jul 2016 (9 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 29 Sep 2021 (3 years ago) |
Document Number: | L16000127539 |
FEI/EIN Number |
81-3134546
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 13060 CORTEZ BLVD, BROOKSVILLE, FL, 34613, US |
Mail Address: | 13060 CORTEZ BLVD, BROOKSVILLE, FL, 34613, US |
ZIP code: | 34613 |
County: | Hernando |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1497209159 | 2016-08-11 | 2021-12-20 | 13060 CORTEZ BLVD, BROOKSVILLE, FL, 346134854, US | 13080 CORTEZ BLVD, BROOKSVILLE, FL, 346134854, US | |||||||||||||||||||||||||
|
Phone | +1 352-600-7572 |
Fax | 3526007675 |
Authorized person
Name | MOHAB HARAKA |
Role | MANAGER |
Phone | 3522133815 |
Taxonomy
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
License Number | 30300 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 019942700 |
State | FL |
Name | Role | Address |
---|---|---|
Haraka Mohab | Authorized Member | 9307 MERLOT CIRCLE, Seffner, FL, 33584 |
HARAKA MOHAB | Agent | 9307 MERLOT CIRCLE, SEFFNER, FL, 33584 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2023-05-12 | 13060 CORTEZ BLVD, BROOKSVILLE, FL 34613 | - |
REGISTERED AGENT ADDRESS CHANGED | 2023-05-12 | 9307 MERLOT CIRCLE, SEFFNER, FL 33584 | - |
CHANGE OF MAILING ADDRESS | 2023-05-12 | 13060 CORTEZ BLVD, BROOKSVILLE, FL 34613 | - |
REINSTATEMENT | 2021-09-29 | - | - |
REGISTERED AGENT NAME CHANGED | 2021-09-29 | HARAKA, MOHAB | - |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
LC STMNT OF RA/RO CHG | 2018-05-10 | - | - |
LC DISSOCIATION MEM | 2018-05-10 | - | - |
LC AMENDMENT | 2017-06-05 | - | - |
LC AMENDMENT | 2016-11-28 | - | - |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-08 |
AMENDED ANNUAL REPORT | 2023-05-12 |
ANNUAL REPORT | 2023-03-03 |
ANNUAL REPORT | 2022-03-22 |
REINSTATEMENT | 2021-09-29 |
ANNUAL REPORT | 2020-05-26 |
ANNUAL REPORT | 2019-04-30 |
CORLCDSMEM | 2018-05-10 |
CORLCRACHG | 2018-05-10 |
ANNUAL REPORT | 2018-04-30 |
Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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1577147305 | 2020-04-28 | 0491 | PPP | 13080 cortez blvd, brooksville, FL, 34613 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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8117998408 | 2021-02-12 | 0491 | PPS | 13080 Cortez Blvd, Brooksville, FL, 34613-4854 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Mar 2025
Sources: Florida Department of State