| Entity Name: | KCS PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Jan 2023 (2 years ago) |
| Document Number: | L23000045377 |
| FEI/EIN Number | 92-2064419 |
| Mail Address: | 1038 LAKE BERKLEY DRIVE, KISSIMMEE, FL 34746 |
| Address: | 1130 East Donegan Ave, STE 13, KISSIMMEE, FL 34744 |
| ZIP code: | 34744 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306532650 | 2023-04-11 | 2023-08-08 | 1130 E DONEGAN AVE STE 13, KISSIMMEE, FL, 347441921, US | 1130 E DONEGAN AVE STE 13, KISSIMMEE, FL, 347441921, US | |||||||||||||||
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| Phone | +1 772-475-1463 |
| Fax | 4077778905 |
Authorized person
| Name | DR. CATHY STEVENS |
| Role | PHARMACIST |
| Phone | 7724751463 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STEVENS, CATHY | Agent | 1038 LAKE BERKLEY DRIVE, KISSIMMEE, FL 34746 |
| Name | Role | Address |
|---|---|---|
| STEVENS, CATHY | Authorized Representative | 1038 LAKE BERKLEY DRIVE, KISSIMMEE, FL 34746 |
| Name | Role | Address |
|---|---|---|
| STEVENS, KENNETH | Authorized Person | 1038 LAKE BERKLEY DRIVE, KISSIMMEE, FL 34746 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000046763 | KCS PHARMACY | ACTIVE | 2023-04-12 | 2028-12-31 | No data | 1038 LAKE BERKLEY DRIVE, KISSIMMEE, FL, 34746 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-05-05 | 1130 East Donegan Ave, STE 13, KISSIMMEE, FL 34744 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| Florida Limited Liability | 2023-01-24 |
Date of last update: 10 Jan 2025
Sources: Florida Department of State
