| Entity Name: | LEGACY PHARMACY CF LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Nov 2022 (2 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 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093580300 | 2023-11-16 | 2023-11-16 | 10967 LAKE UNDERHILL RD STE 118, ORLANDO, FL, 328254454, US | 1060 N JOHN YOUNG PKWY, KISSIMMEE, FL, 347414104, US | |||||||||||||
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| Phone | +1 407-730-7989 |
Authorized person
| Name | RAMESH REDDY NIMMALA |
| Role | PARTNER |
| Phone | 4077307989 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SMART ASHISHKUMAR K | Agent | 320 ANCONA AVENUE, DEBARY, FL, 32713 |
| Name | Role | Address |
|---|---|---|
| SMART ASHISHKUMAR K | Managing Member | 320 ANCONA AVENUE, DEBARY, FL, 32713 |
| Name | Role | Address |
|---|---|---|
| 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 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000135286 | VIVA PHARMACY | ACTIVE | 2023-11-03 | 2028-12-31 | No data | 320 ANCONA AVENUE, DEBARY, FL, 32713 |
| 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 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
