| Entity Name: | NEOVANCE SPECIALITY PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 May 2009 (16 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 12 Nov 2024 (3 months ago) |
| Document Number: | M09000001823 |
| FEI/EIN Number | 264291200 |
| Address: | 100 TECHNOLOGY PARK, SUITE 158, LAKE MARY, FL, 32746, US |
| Mail Address: | 100 TECHNOLOGY PARK, SUITE 158, LAKE MARY, FL, 32746, US |
| ZIP code: | 32746 |
| County: | Seminole |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780811125 | 2009-06-12 | 2023-07-17 | 100 TECHNOLOGY PARK, SUITE 158, LAKE MARY, FL, 327466297, US | 100 TECHNOLOGY PARK STE 158, LAKE MARY, FL, 327466205, US | |||||||||||||||||||||||||||
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| Phone | +1 866-842-2147 |
| Fax | 8668421509 |
Authorized person
| Name | HEATHER RASCHTSCHENIA |
| Role | VICE PRESIDENT |
| Phone | 6192062055 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH23883 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2120585 |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| OSMAN SAM | Chief Executive Officer | 8045 ARCO CORPORATE DRIVE, RALEIGH, NC, 27617 |
| Name | Role | Address |
|---|---|---|
| HILL RAY | Vice President | 8045 ARCO CORPORATE DRIVE, RALEIGH, NC, 27617 |
| BALASKAS MARY | Vice President | 8045 ARCO CORPORATE DRIVE, RALEIGH, NC, 27617 |
| Name | Role | Address |
|---|---|---|
| HILL RAY | Secretary | 8045 ARCO CORPORATE DRIVE, RALEIGH, NC, 27617 |
| Name | Role |
|---|---|
| FORTREA PATIENT ACCESS INC. | Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT AND NAME CHANGE | 2024-11-12 | NEOVANCE SPECIALITY PHARMACY LLC | No data |
| CHANGE OF MAILING ADDRESS | 2023-07-28 | 100 TECHNOLOGY PARK, SUITE 158, LAKE MARY, FL 32746 | No data |
| LC AMENDMENT AND NAME CHANGE | 2023-07-28 | FORTREA SPECIALITY PHARMACY LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-07-28 | 100 TECHNOLOGY PARK, SUITE 158, LAKE MARY, FL 32746 | No data |
| LC NAME CHANGE | 2021-07-06 | LABCORP SPECIALTY PHARMACY LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-02 | 1201 HAYS ST, TALLAHASSEE, FL 32301 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-03-02 | CORPORATION SERVICE COMPANY | No data |
| LC STMNT OF RA/RO CHG | 2017-03-02 | No data | No data |
| Name | Date |
|---|---|
| LC Amendment and Name Change | 2024-11-12 |
| ANNUAL REPORT | 2024-04-20 |
| LC Amendment and Name Change | 2023-07-28 |
| ANNUAL REPORT | 2023-04-18 |
| ANNUAL REPORT | 2022-04-26 |
| LC Name Change | 2021-07-06 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-03-10 |
| ANNUAL REPORT | 2019-01-03 |
| ANNUAL REPORT | 2018-01-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
