| Entity Name: | ARTHUR'S ORIGINAL PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 17 Mar 1997 (28 years ago) |
| Document Number: | P97000025400 |
| FEI/EIN Number | 65-0738126 |
| Address: | 5816 N. UNIVERSITY DRIVE, TAMARAC, FL 33321 |
| Mail Address: | 5816 N. UNIVERSITY DRIVE, TAMARAC, FL 33321 |
| ZIP code: | 33321 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275604555 | 2006-11-10 | 2023-06-01 | 5816 N UNIVERSITY DR, TAMARAC, FL, 333214634, US | 5816 N UNIVERSITY DR, TAMARAC, FL, 333214634, US | |||||||||||||||||||||||||
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| Phone | +1 954-726-1911 |
| Fax | 9547267023 |
Authorized person
| Name | KHADIJA HAMEEDI |
| Role | OWNER |
| Phone | 9547261911 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH15255 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1061101-00 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VIKASH, NEGANDHI | Agent | 5816 N. UNIVERSITY DRIVE, TAMARAC, FL 33321 |
| Name | Role | Address |
|---|---|---|
| NEGANDHI, VIKASH | Director | 5816 N. UNIVERSITY DRIVE, TAMARAC, FL 33321 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-12-13 | 5816 N. UNIVERSITY DRIVE, TAMARAC, FL 33321 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-12-13 | VIKASH, NEGANDHI | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-12-13 | 5816 N. UNIVERSITY DRIVE, TAMARAC, FL 33321 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1998-03-03 | 5816 N. UNIVERSITY DRIVE, TAMARAC, FL 33321 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-12-13 |
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-02-11 |
| ANNUAL REPORT | 2021-01-16 |
| ANNUAL REPORT | 2020-02-01 |
| ANNUAL REPORT | 2019-02-02 |
| ANNUAL REPORT | 2018-01-13 |
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-01-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
