| Entity Name: | KAILASH PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Nov 2023 (a year ago) |
| Document Number: | L23000513838 |
| FEI/EIN Number | 93-4446675 |
| Address: | 3755 S NOVA RD, UNIT A, PORT ORANGE, FL 32129 |
| Mail Address: | 3755 S NOVA RD, UNIT A, PORT ORANGE, FL 32129 |
| ZIP code: | 32129 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932968757 | 2024-03-14 | 2024-03-14 | 3755 S NOVA RD STE A, PORT ORANGE, FL, 321294282, US | 1107 N NOVA RD, DAYTONA BEACH, FL, 321174108, US | |||||||||||||||
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| Phone | +1 713-992-3289 |
| Fax | 3862563177 |
Authorized person
| Name | TEJAS L MEHTA |
| Role | OWNER |
| Phone | 7139923289 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PATEL, KALPESHKUMAR C | Agent | 3755 S NOVA RD, UNIT A, PORT ORANGE, FL 32129 |
| Name | Role | Address |
|---|---|---|
| PATEL, KALPESHKUMAR C | Authorized Member | 11227 TAEDA DRIVE, ORLANDO, FL 32832 |
| MEHTA, kajal | Authorized Member | 2473 DONAVAN COURT, MELBOURNE, FL 32940 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000049157 | COMMUNITY PHARMACY OF HOLLY HILL | ACTIVE | 2024-04-11 | 2029-12-31 | No data | 3755 S NOVA ROAD, UNIT A, PORT ORANGE, FL, 32129 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-19 |
| AMENDED ANNUAL REPORT | 2024-09-26 |
| ANNUAL REPORT | 2024-02-09 |
| Florida Limited Liability | 2023-11-13 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
