| Entity Name: | ADVANCE CARE RX LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 19 Sep 2016 (8 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 28 Sep 2017 (7 years ago) |
| Document Number: | L16000175011 |
| FEI/EIN Number | 81-4036429 |
| Address: | 7016 US 301 N, ELLENTON, FL 34222 |
| Mail Address: | 7016 US 301 N, ELLENTON, FL 34222 |
| ZIP code: | 34222 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932642543 | 2016-11-30 | 2017-11-21 | 7016 US 301 N, ELLENTON, FL, 342223030, US | 7016 US 301 N, ELLENTON, FL, 342223030, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 941-212-6666 |
| Phone | +1 407-271-2138 |
Authorized person
| Name | DR. BHAVIN K PANCHAL |
| Role | OWNER/STAFF PHARMACIST |
| Phone | 9412126666 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 30465 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 021396800 |
| State | FL |
| Issuer | PK |
| Number | 2166692 |
| Name | Role | Address |
|---|---|---|
| PANCHAL, BHAVIN K | Agent | 5809 BLUESTAR COURT, LAKEWOOD RANCH, FL 34211 |
| Name | Role | Address |
|---|---|---|
| PANCHAL, BHAVIN K | Manager | 5809 BLUESTAR COURT, Lakewood Ranch, FL 34211 |
| SHAH, RONALD | Manager | 6785 ERICA LANE, SARASOTA, FL 34241 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000102619 | ADVANCE CARE PHARMACY | ACTIVE | 2017-09-14 | 2027-12-31 | No data | 7016 US HWY 301, ELLENTON, FL, 34222-2 |
| G17000049358 | BENZER PHARMACY | EXPIRED | 2017-05-05 | 2022-12-31 | No data | 7016 US 301N, ELLENTON, FL, 34222 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-04 | 5809 BLUESTAR COURT, LAKEWOOD RANCH, FL 34211 | No data |
| LC AMENDMENT | 2017-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-12-08 | 7016 US 301 N, ELLENTON, FL 34222 | No data |
| CHANGE OF MAILING ADDRESS | 2016-12-08 | 7016 US 301 N, ELLENTON, FL 34222 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-02 |
| ANNUAL REPORT | 2024-01-03 |
| ANNUAL REPORT | 2023-01-09 |
| ANNUAL REPORT | 2022-01-04 |
| ANNUAL REPORT | 2021-01-04 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-02-05 |
| ANNUAL REPORT | 2018-03-08 |
| LC Amendment | 2017-09-28 |
| ANNUAL REPORT | 2017-02-12 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
