| Entity Name: | LSL PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 Nov 2023 (a year ago) |
| Document Number: | L23000519318 |
| FEI/EIN Number | 93-4749286 |
| Mail Address: | 4196 FOXHOUND DR, CLERMONT, FL 34711 |
| Address: | 753 CO RD 466, LADY LAKE, FL 32159 |
| ZIP code: | 32159 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831959527 | 2024-03-20 | 2024-03-20 | 910 OLD CAMP RD STE 170, THE VILLAGES, FL, 321625609, US | 910 OLD CAMP RD STE 170, THE VILLAGES, FL, 321625609, US | |||||||||||||
|
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| Phone | +1 352-268-3454 |
Authorized person
| Name | VIRAT PATEL |
| Role | OWNER |
| Phone | 5513584242 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHAH, HARDIK | Agent | 1285 DUSTY PINE DR, APOPKA, FL 32703 |
| Name | Role | Address |
|---|---|---|
| SHAH, HARDIK | Authorized Member | 1285 DUSTY PINE DR, APOPKA, FL 32703 |
| PATEL, VATSAL | Authorized Member | 4196 FOXHOUND DR, CLERMONT, FL 34711 |
| PATEL, VIRAT | Authorized Member | 1324 LAKE OLIVIA LN, WINDERMERE, FL 34786 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-25 |
| Florida Limited Liability | 2023-11-16 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
