Entity Name: | L AND N PHARMACY INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 19 Feb 2018 (7 years ago) |
Document Number: | P18000016885 |
FEI/EIN Number | 82-4566653 |
Address: | 1849 tamiami tr s, VENICE, FL, 34293, US |
Mail Address: | 1849 tamiami tr s, VENICE, FL, 34293, US |
ZIP code: | 34293 |
County: | Sarasota |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1477056901 | 2018-03-12 | 2018-07-19 | 1849 TAMIAMI TRL S, VENICE, FL, 342933128, US | 1849 TAMIAMI TRL S, VENICE, FL, 342933128, US | |||||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 941-786-3208 |
Fax | 9417863478 |
Authorized person
Name | RICHARD GAITAN |
Role | OWNER |
Phone | 9417863478 |
Taxonomy
Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
Is Primary | No |
Taxonomy Code | 333600000X - Pharmacy |
Is Primary | No |
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
License Number | PH31361 |
State | FL |
Is Primary | Yes |
Taxonomy Code | 3336C0004X - Compounding Pharmacy |
Is Primary | No |
Taxonomy Code | 3336M0002X - Mail Order Pharmacy |
Is Primary | No |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 1629347133 |
State | FL |
Issuer | PK |
Number | 2177317 |
Name | Role | Address |
---|---|---|
GAITAN RICHARD C | Agent | 1849 tamiami tr s, VENICE, FL, 34293 |
Name | Role | Address |
---|---|---|
GAITAN RICHARD C | President | 1849 tamiami tr s, VENICE, FL, 34293 |
Name | Role | Address |
---|---|---|
gaitan kacey l | vice | 1849 tamiami tr s, VENICE, FL, 34293 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G18000053761 | SUN & SEA PHARMACY | ACTIVE | 2018-04-30 | 2028-12-31 | No data | 1849 TAMIAMI TRAIL SOUTH, VENICE, FL, 34293 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2020-03-31 | 1849 tamiami tr s, VENICE, FL 34293 | No data |
CHANGE OF MAILING ADDRESS | 2020-03-31 | 1849 tamiami tr s, VENICE, FL 34293 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2020-03-31 | 1849 tamiami tr s, VENICE, FL 34293 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-08 |
ANNUAL REPORT | 2023-02-01 |
ANNUAL REPORT | 2022-02-09 |
ANNUAL REPORT | 2021-01-05 |
ANNUAL REPORT | 2020-03-31 |
ANNUAL REPORT | 2019-02-16 |
Domestic Profit | 2018-02-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State