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HEALTHSOURCE PHARMACY IV, LLC

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Company Details

Name: HEALTHSOURCE PHARMACY IV, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Inactive
Date of registration: 01 Jul 2016 (9 years ago)
Date of dissolution: 03 Jul 2019
Entity Number: 4971887
ZIP code: 10025
County: New York
Place of Formation: New York
Address: 750 COLUMBUS AVENUE, NEW YORK, NY, United States, 10025

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 750 COLUMBUS AVENUE, NEW YORK, NY, United States, 10025

National Provider Identifier

NPI Number:
1053841312

Authorized Person:

Name:
BORIS NIYAZOV
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
No
Selected Taxonomy:
3336C0004X - Compounding Pharmacy
Is Primary:
No
Selected Taxonomy:
3336S0011X - Specialty Pharmacy
Is Primary:
No
Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Fax:
2129320202

History

Start date End date Type Value
2016-07-01 2017-05-22 Address 90 STATE STREET, SUITE 700, OFFICE 40, ALBANY, NY, 12207, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
190703000177 2019-07-03 ARTICLES OF DISSOLUTION 2019-07-03
170522000353 2017-05-22 CERTIFICATE OF CHANGE 2017-05-22
161003000678 2016-10-03 CERTIFICATE OF PUBLICATION 2016-10-03
160927000157 2016-09-27 CERTIFICATE OF PUBLICATION 2016-09-27
160701010125 2016-07-01 ARTICLES OF ORGANIZATION 2016-07-01

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State