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LEGACY PHARMACY CF LLC - Florida Company Profile

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Company Details

Entity Name: LEGACY PHARMACY CF LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 07 Nov 2022 (3 years ago)
Document Number: L22000477043
FEI/EIN Number 920947672
Address: 320 ANCONA AVENUE, DEBARY, FL, 32713, UN
Mail Address: 320 ANCONA AVENUE, DEBARY, FL, 32713, UN
ZIP code: 32713
City: Debary
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SMART ASHISHKUMAR K Managing Member 320 ANCONA AVENUE, DEBARY, FL, 32713
NIMMALA RAMESH R Manager 13137 ALDERLEY DR, ORLANDO, FL, 32832
Gala Sachin Manager 607 cortona drive, Orlando, FL, 32828
Nagle Rajesh Manager 8672 Warwick Shore Crossing, Orlando, FL, 32829
SMART ASHISHKUMAR K Agent 320 ANCONA AVENUE, DEBARY, FL, 32713

National Provider Identifier

NPI Number:
1093580300
Certification Date:
2023-11-16

Authorized Person:

Name:
RAMESH REDDY NIMMALA
Role:
PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000135286 VIVA PHARMACY ACTIVE 2023-11-03 2028-12-31 - 320 ANCONA AVENUE, DEBARY, FL, 32713

Documents

Name Date
ANNUAL REPORT 2025-01-04
ANNUAL REPORT 2024-04-29
AMENDED ANNUAL REPORT 2023-06-21
ANNUAL REPORT 2023-02-23
Florida Limited Liability 2022-11-07

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Date of last update: 01 Aug 2025

Sources: Florida Department of State