| Entity Name: | ECKERDS RX 107 LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 14 Aug 2019 (5 years ago) |
| Document Number: | L19000206666 |
| FEI/EIN Number | 84-2712851 |
| Address: | 710 N Brevard Ave, Arcadia, FL 34266 |
| Mail Address: | 710 N Brevard Ave, Arcadia, FL 34266 |
| ZIP code: | 34266 |
| County: | DeSoto |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730723685 | 2019-11-04 | 2022-03-01 | 710 N BREVARD AVE, ARCADIA, FL, 342668778, US | 710 N BREVARD AVE, ARCADIA, FL, 342668778, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 863-485-4150 |
| Fax | 8634854151 |
Authorized person
| Name | MR. VIKRAM B RAO |
| Role | PRESIDENT |
| Phone | 9415246545 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| RAO, VIKRAM B | Agent | 9625 CARNOUSTIE PL, LAKEWOOD RANCH, FL 34211 |
| Name | Role | Address |
|---|---|---|
| RAO, VIKRAM B | Member | 9625 CARNOUSTIE PLACE, LAKEWOOD RANCH, FL 34211 |
| PATEL, RENUKABEN J | Member | 4003 61ST DR E, BRADENTON, FL 34203 |
| PATEL, DHARAM B | Member | 26773 FIDDLEWOOD LOOP, WESLEY CHAPEL, FL 33544 |
| DESAI, NISHABAHEN M | Member | 12903 BLISS LOOP, LAKEWOOD RANCH, FL 34211 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-02-22 | 710 N Brevard Ave, Arcadia, FL 34266 | No data |
| CHANGE OF MAILING ADDRESS | 2020-02-22 | 710 N Brevard Ave, Arcadia, FL 34266 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-28 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-02-24 |
| ANNUAL REPORT | 2020-02-22 |
| Florida Limited Liability | 2019-08-14 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
