| Entity Name: | RISSAN, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 05 Apr 2012 (13 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 07 Nov 2024 (3 months ago) |
| Document Number: | P12000032952 |
| FEI/EIN Number | 45-4994418 |
| Address: | 3702 PEACE PIPE WAY, CLERMONT, FL 34711 |
| Mail Address: | 3702 PEACE PIPE WAY, CLERMONT, FL 34711 |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710239249 | 2012-10-08 | 2020-09-08 | 211 N MARKET ST, BUSHNELL, FL, 335136108, US | 211 N MARKET ST, BUSHNELL, FL, 335136108, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 352-793-8000 |
| Fax | 3527938007 |
Authorized person
| Name | TEJAS GANDHI |
| Role | VP |
| Phone | 3527938000 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH26400 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5712131 |
| Name | Role | Address |
|---|---|---|
| PATEL, DHRUV | Agent | 3702 PEACE PIPE WAY, CLERMONT, FL 34711 |
| Name | Role | Address |
|---|---|---|
| GANDHI, TEJAS | President | 3702 PEACE PIPE WAY, CLERMONT, FL 34711 |
| Name | Role | Address |
|---|---|---|
| GANDHI, TEJAS | Secretary | 3702 PEACE PIPE WAY, CLERMONT, FL 34711 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000103463 | SAFESCRIPT PHARMACY | ACTIVE | 2012-10-24 | 2027-12-31 | No data | 342 SHOPPING CENTER DR, WILDWOOD, FL, 34785 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-11-07 | PATEL, DHRUV | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-11-07 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-06-03 |
| ANNUAL REPORT | 2019-03-21 |
| ANNUAL REPORT | 2018-03-30 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-03-18 |
| ANNUAL REPORT | 2015-04-29 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
