Entity Name: | VIHAS LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 05 Aug 2021 (3 years ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 18 Oct 2021 (3 years ago) |
Document Number: | L21000353163 |
FEI/EIN Number | 87-2278730 |
Address: | 2706 W SAINT ISABEL ST, TAMPA, FL 33607 |
Mail Address: | 3845 COPPERSPRING BLVD, NEW PORT RICHEY, FL 34653 |
ZIP code: | 33607 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1336802602 | 2021-10-14 | 2022-04-20 | 2706 W SAINT ISABEL ST, TAMPA, FL, 336076382, US | 2706 W SAINT ISABEL ST, TAMPA, FL, 336076382, US | |||||||||||||||||||||
|
Phone | +1 813-771-6075 |
Fax | 8137716076 |
Authorized person
Name | ARTH JOSHI |
Role | PHARMACY MANAGER |
Phone | 8137716075 |
Taxonomy
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 112915500 |
State | FL |
Name | Role | Address |
---|---|---|
JOSHI, ARTH | Agent | 3845 COPPERSPRING BLVD, NEW PORT RICHEY, FL 34653 |
Name | Role | Address |
---|---|---|
JOSHI, ARTH | Authorized Member | 3845 COPPERSPRING BLVD, NEW PORT RICHEY, FL 34653 |
LAWRENCE, NELLIE | Authorized Member | 36126 SHADY BLUFF LOOP, ZEPHYRHILLS, FL 33541 |
PATEL, MANANKUMAR | Authorized Member | 19201 VERDANT PASTURE WAY, TAMPA, FL 33647 |
PATEL, RAJDEEP | Authorized Member | 17806 CANARY POINT LN, TAMPA, FL 33647 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2022-04-16 | 2706 W SAINT ISABEL ST, TAMPA, FL 33607 | No data |
CHANGE OF MAILING ADDRESS | 2022-04-16 | 2706 W SAINT ISABEL ST, TAMPA, FL 33607 | No data |
LC AMENDMENT | 2021-10-18 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-19 |
ANNUAL REPORT | 2023-03-31 |
ANNUAL REPORT | 2022-04-16 |
LC Amendment | 2021-10-18 |
Florida Limited Liability | 2021-08-05 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State