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SAN AGUSTIN PHARMACY LLC

Company Details

Name: SAN AGUSTIN PHARMACY LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 22 Oct 2020 (5 years ago)
Entity Number: 5862658
ZIP code: 11725
County: New York
Place of Formation: New York
Address: 283 COMMACK ROAD, SUITE 210, COMMACK, NY, United States, 11725

Contact Details

Phone +1 212-568-1020

DOS Process Agent

Name Role Address
KALB & ROSENFELD, P.C. DOS Process Agent 283 COMMACK ROAD, SUITE 210, COMMACK, NY, United States, 11725

National Provider Identifier

NPI Number:
1477140077
Certification Date:
2020-12-30

Authorized Person:

Name:
AMBIORIX AGUSTIN POLANCO
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Fax:
2127814157

Filings

Filing Number Date Filed Type Effective Date
210430000077 2021-04-30 CERTIFICATE OF PUBLICATION 2021-04-30
201112000177 2020-11-12 CERTIFICATE OF AMENDMENT 2020-11-12
201022010118 2020-10-22 ARTICLES OF ORGANIZATION 2020-10-22

Date of last update: 22 Mar 2025

Sources: New York Secretary of State