| Entity Name: | LITHAN LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Feb 2018 (7 years ago) |
| Document Number: | L18000032156 |
| FEI/EIN Number | 82-4321072 |
| Address: | 4269 MAPLEHURST WAY, SPRING HILL, FL, 34609 |
| Mail Address: | 4269 MAPLEHURST WAY, SPRING HILL, FL, 34609 |
| ZIP code: | 34609 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558858985 | 2018-04-20 | 2020-07-30 | 6508 EMBASSY BLVD, PORT RICHEY, FL, 346684734, US | 6508 EMBASSY BLVD, PORT RICHEY, FL, 346684734, US | |||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||
| Phone | +1 727-261-4684 |
| Fax | 7272614883 |
| Fax | 7272614683 |
Authorized person
| Name | NELSON OHIHOIN |
| Role | CEO |
| Phone | 7272717553 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH31369 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 101445900 |
| State | FL |
| Issuer | PK |
| Number | 2177300 |
| Name | Role | Address |
|---|---|---|
| OHIHOIN NELSON E | Agent | 4269 MAPLEHURST WAY, SPRING HILL, FL, 34609 |
| Name | Role | Address |
|---|---|---|
| OHIHOIN NELSON E | Manager | 4269 MAPLEHURST WAY, SPRING HILL, FL, 34609 |
| OHIHOIN SUSANNE | Manager | 4269 MAPLEHURST WAY, SPRING HILL, FL, 34609 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000023911 | GREEN APPLE RX PHARMACY | ACTIVE | 2018-02-15 | 2028-12-31 | No data | 6508 EMBASSY BLVD., PORT RICHEY, FL, 34688 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-25 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-01-08 |
| ANNUAL REPORT | 2020-01-24 |
| ANNUAL REPORT | 2019-02-08 |
| Florida Limited Liability | 2018-02-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
