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PRIME HEALTH PHARMACY LLC

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Company Details

Name: PRIME HEALTH PHARMACY LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 23 Oct 2014 (11 years ago)
Entity Number: 4655232
ZIP code: 12260
County: Albany
Place of Formation: New York
Address: 99 WASHINGTON AVE, SUITE 1008, ALBANY, NY, United States, 12260

Contact Details

Phone +1 718-676-4405

Agent

Name Role Address
ALLSTATE CORPORATE SERVICES CORP. Agent 99 WASHINGTON AVE, SUITE 1008, ALBANY, NY, 12260

DOS Process Agent

Name Role Address
ALLSTATE CORPORATE SERVICES CORP. DOS Process Agent 99 WASHINGTON AVE, SUITE 1008, ALBANY, NY, United States, 12260

National Provider Identifier

NPI Number:
1912737693
Certification Date:
2024-08-06

Authorized Person:

Name:
SALIM FAOUR
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
3336L0003X - Long Term Care Pharmacy
Is Primary:
Yes

Contacts:

Fax:
7186764461

Licenses

Number Status Type Date End date
2017426-DCA Active Business 2015-01-20 2025-03-15

Filings

Filing Number Date Filed Type Effective Date
190109060855 2019-01-09 BIENNIAL STATEMENT 2018-10-01
150331000725 2015-03-31 CERTIFICATE OF PUBLICATION 2015-03-31
141023010033 2014-10-23 ARTICLES OF ORGANIZATION 2014-10-23

Fine And Fees

Fee Sequence Id Fee type Status Date Amount Description
3588850 RENEWAL INVOICED 2023-01-27 200 Dealer in Products for the Disabled License Renewal
3316613 RENEWAL INVOICED 2021-04-08 200 Dealer in Products for the Disabled License Renewal
2955912 RENEWAL INVOICED 2019-01-02 200 Dealer in Products for the Disabled License Renewal
2645162 LL VIO CREDITED 2017-07-21 250 LL - License Violation
2564542 RENEWAL INVOICED 2017-02-28 200 Dealer in Products for the Disabled License Renewal
1986775 RENEWAL INVOICED 2015-02-17 200 Dealer in Products for the Disabled License Renewal
1942938 LICENSE INVOICED 2015-01-18 50 Dealer in Products for the Disabled License Fee

Issued Charges

Date Outcome Charge Charge count Counts sellted Counts guilty Counts not guilty
2017-07-12 Pleaded REQUIRED 'NOTICE' SIGN DOES NOT CONFORM WITH REQUIREMENTS 1 1 No data No data

USAspending Awards / Financial Assistance

Date:
2020-04-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
34705.00
Total Face Value Of Loan:
34705.00

Paycheck Protection Program

Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
34705
Current Approval Amount:
34705
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
35087.23

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State