| Entity Name: | VIVA PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 27 Mar 2017 (8 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L17000068348 |
| FEI/EIN Number | 82-1026336 |
| Address: | 114 S SEMORAN BLVD, ORLANDO, FL 32807 |
| Mail Address: | 2717 HAZEL GROVE LN, OVIEDO, FL 32766 |
| ZIP code: | 32807 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235653577 | 2017-07-28 | 2017-07-28 | 114 S SEMORAN BLVD, ORLANDO, FL, 328073293, US | 114 S SEMORAN BLVD, ORLANDO, FL, 328073293, US | |||||||||||||||||||||||||||
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| Phone | +1 407-985-1816 |
| Fax | 4077454536 |
Authorized person
| Name | VIVA PHARMACY |
| Role | RPH |
| Phone | 4079851816 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH30802 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2170059 |
| Name | Role | Address |
|---|---|---|
| MORKOS, YOUSTINA | Agent | 2717 HAZEL GROVE LN, OVIEDO, FL 32766 |
| Name | Role | Address |
|---|---|---|
| MORKOS, YOUSTINA | Manager | 2717 HAZEL GROVE LN, OVIEDO, FL 32766 |
| Name | Role | Address |
|---|---|---|
| KRIAKOUS, MARIAM | Authorized Member | 114 S SEMORAN BLVD, ORLANDO, FL 32807 |
| HELKANI, AYMAN | Authorized Member | 114 S SEMORAN BLVD, ORLANDO, FL 32807 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| LC AMENDMENT | 2019-02-01 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-03-25 |
| ANNUAL REPORT | 2019-04-17 |
| LC Amendment | 2019-02-01 |
| ANNUAL REPORT | 2018-04-12 |
| Florida Limited Liability | 2017-03-27 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
