| Entity Name: | BAKER PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Jun 2019 (6 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 21 Jul 2022 (3 years ago) |
| Document Number: | L19000155090 |
| FEI/EIN Number | 84-2173710 |
| Address: | 698 WEST MACCLENNY AVENUE, STE 682, MACCLENNY, FL, 32063, US |
| Mail Address: | 698 WEST MACCLENNY AVENUE, STE 682, MACCLENNY, FL, 32063, US |
| ZIP code: | 32063 |
| County: | Baker |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689219917 | 2019-11-11 | 2019-11-11 | 698 W MACCLENNY AVE STE 682, MACCLENNY, FL, 320632092, US | 698 W MACCLENNY AVE STE 682, MACCLENNY, FL, 320632092, US | |||||||||||||
|
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| Phone | +1 904-314-3288 |
Authorized person
| Name | MR. PAVANKUMAR BANOTH |
| Role | OWNER |
| Phone | 9043143288 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BANOTH PAVANKUMAR | Agent | 698 WEST MACCLENNY AVENUE, Macclenny, FL, 32063 |
| Name | Role | Address |
|---|---|---|
| BANOTH PAVANKUMAR | Managing Member | 698 WEST MACCLENNY AVENUE, MACCLENNY, FL, 32063 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2022-07-21 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-05-08 | 698 WEST MACCLENNY AVENUE, Macclenny, FL 32063 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-02-21 | 698 WEST MACCLENNY AVENUE, STE 682, MACCLENNY, FL 32063 | No data |
| CHANGE OF MAILING ADDRESS | 2020-02-21 | 698 WEST MACCLENNY AVENUE, STE 682, MACCLENNY, FL 32063 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-15 |
| ANNUAL REPORT | 2023-01-27 |
| LC Amendment | 2022-07-21 |
| ANNUAL REPORT | 2022-03-22 |
| AMENDED ANNUAL REPORT | 2021-05-08 |
| ANNUAL REPORT | 2021-03-19 |
| ANNUAL REPORT | 2020-02-21 |
| Florida Limited Liability | 2019-06-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
