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LAKE AVE PHARMA LLC

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Company Details

Name: LAKE AVE PHARMA LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 02 Apr 2021 (4 years ago)
Entity Number: 5979726
ZIP code: 10703
County: Westchester
Place of Formation: New York
Address: 130 LAKE AVE., YONKERS, NY, United States, 10703

Contact Details

Phone +1 914-965-3034

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 130 LAKE AVE., YONKERS, NY, United States, 10703

National Provider Identifier

NPI Number:
1437824117
Certification Date:
2022-02-25

Authorized Person:

Name:
JACQUELINE BISSAH
Role:
SUPERVISING PHARMACIST
Phone:

Taxonomy:

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

Contacts:

Fax:
9149654176

Licenses

Number Type Address
753576 Retail grocery store 130 LAKE AVE, YONKERS, NY, 10703

History

Start date End date Type Value
2021-04-02 2022-03-22 Address 130 LAKE AVE., YONKERS, NY, 10703, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
220322000074 2021-09-07 CERTIFICATE OF PUBLICATION 2021-09-07
210402010193 2021-04-02 ARTICLES OF ORGANIZATION 2021-04-02

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State