| Entity Name: | VILLA CLARA PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 Jan 2024 (a year ago) |
| Document Number: | L24000028618 |
| FEI/EIN Number | 99-0702528 |
| Address: | 9568 SW 137 Ave, MIAMI, FL 33186 |
| Mail Address: | 9568 SW 137 Ave, MIAMI, FL 33186 |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689439432 | 2024-02-20 | 2024-02-20 | 9568 SW 137TH AVE # 354-B3, MIAMI, FL, 331862201, US | 9568 SW 137TH AVE # 354-B3, MIAMI, FL, 331862201, US | |||||||||||||
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| Phone | +1 786-282-4279 |
Authorized person
| Name | MARILYN DUQUE |
| Role | PHARMACY MANAGER |
| Phone | 7862824279 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DUQUE, MARILYN | Agent | 4620 SW 82 PL, MIAMI, FL 33155 |
| Name | Role | Address |
|---|---|---|
| DUQUE, MARILYN | Authorized Member | 4620 SW 82 PL, MIAMI, FL 33155 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-08 | 9568 SW 137 Ave, MIAMI, FL 33186 | No data |
| CHANGE OF MAILING ADDRESS | 2024-05-08 | 9568 SW 137 Ave, MIAMI, FL 33186 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-18 |
| Florida Limited Liability | 2024-01-16 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
