| Entity Name: | HOLY TRINITY PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Mar 2019 (6 years ago) |
| Document Number: | L19000077236 |
| FEI/EIN Number | 83-4160470 |
| Address: | 10900 SR 54, Trinity, FL, 34655, US |
| Mail Address: | 10900 SR 54, Trinity, FL, 34655, US |
| ZIP code: | 34655 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811657588 | 2021-12-22 | 2021-12-22 | 10900 STATE ROAD 54, STE, STE 102, NEW PORT RICHEY, FL, 34655, US | 10900 STATE ROAD 54, STE, STE 102, NEW PORT RICHEY, FL, 34655, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 727-312-4384 |
| Fax | 7273124605 |
Authorized person
| Name | NANCY AWAD |
| Role | PHARMACY MANAGER |
| Phone | 5512215670 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
| Is Primary | No |
| Taxonomy Code | 332BD1200X - Dialysis Equipment & Supplies (DME) |
| Is Primary | No |
| Taxonomy Code | 332BN1400X - Nursing Facility Supplies (DME) |
| Is Primary | No |
| Taxonomy Code | 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME) |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Estafanous Effat | Agent | 10900 SR 54, Trinity, FL, 34655 |
| Name | Role | Address |
|---|---|---|
| Estafanous Effat | Authorized Member | 10900 SR 54, Trinity, FL, 34655 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-01-21 | Estafanous, Effat | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-27 | 10900 SR 54, 102, Trinity, FL 34655 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-27 | 10900 SR 54, 102, Trinity, FL 34655 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-27 | 10900 SR 54, 102, Trinity, FL 34655 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-30 |
| ANNUAL REPORT | 2023-01-21 |
| ANNUAL REPORT | 2022-03-06 |
| ANNUAL REPORT | 2021-02-21 |
| ANNUAL REPORT | 2020-01-27 |
| Florida Limited Liability | 2019-03-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
