| Entity Name: | LAKE BUTLER PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Oct 2022 (2 years ago) |
| Document Number: | L22000462580 |
| FEI/EIN Number | 92-0872263 |
| Address: | 404 NW HALL OF FAME DR, LAKE CITY, FL, 32055, US |
| Mail Address: | 404 NW HALL OF FAME DR, LAKE CITY, FL, 32055, US |
| ZIP code: | 32055 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598465130 | 2023-03-02 | 2024-04-26 | 404 NW HALL OF FAME DR, LAKE CITY, FL, 320554833, US | 610 SW 1ST ST, LAKE BUTLER, FL, 320541505, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 386-291-7007 |
| Fax | 3862917017 |
Authorized person
| Name | MINESH A PATEL |
| Role | OWNER |
| Phone | 3862917007 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PATEL MINESH | Agent | 404 NW HALL OF FAME DRIVE, LAKE CITY, FL, 32055 |
| Name | Role | Address |
|---|---|---|
| PATEL MINESH | Manager | 404 NW HALL OF FAME DRIVE, LAKE CITY, FL, 32055 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-05-01 | 404 NW HALL OF FAME DR, LAKE CITY, FL 32055 | No data |
| CHANGE OF MAILING ADDRESS | 2023-05-01 | 404 NW HALL OF FAME DR, LAKE CITY, FL 32055 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-05-01 |
| Florida Limited Liability | 2022-10-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
