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MEDFORD COMPOUNDING & SPECIALTY PHARMACY LLC

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Company Details

Name: MEDFORD COMPOUNDING & SPECIALTY PHARMACY LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Inactive
Date of registration: 26 Sep 2011 (14 years ago)
Date of dissolution: 28 Oct 2019
Entity Number: 4145926
ZIP code: 11763
County: Suffolk
Place of Formation: New York
Address: C/O RAJAN VOHORA, 2608 ROUTE 112, MEDFORD, NY, United States, 11763

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent C/O RAJAN VOHORA, 2608 ROUTE 112, MEDFORD, NY, United States, 11763

Agent

Name Role Address
RAJAN VOHORA Agent 2608 ROUTE 112, MEDFORD, NY, 11763

National Provider Identifier

NPI Number:
1669721239

Authorized Person:

Name:
CRYSTAL KOLLER
Role:
VPF
Phone:

Taxonomy:

Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
No
Selected Taxonomy:
3336C0004X - Compounding Pharmacy
Is Primary:
Yes

Contacts:

Fax:
6314754911
Fax:
6316541508

History

Start date End date Type Value
2011-09-26 2015-07-16 Address 2612 ROUTE 112, MEDFORD, NY, 11763, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
191028000628 2019-10-28 ARTICLES OF DISSOLUTION 2019-10-28
170912006424 2017-09-12 BIENNIAL STATEMENT 2017-09-01
151006006696 2015-10-06 BIENNIAL STATEMENT 2015-09-01
150716000135 2015-07-16 CERTIFICATE OF CHANGE 2015-07-16
131106007072 2013-11-06 BIENNIAL STATEMENT 2013-09-01

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State