| Entity Name: | PRIME THERAPEUTICS PHARMACY LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Foreign |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 29 Apr 2013 |
| Business ALEI: | 1104911 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 524298 - All Other Insurance Related Activities |
| Business address: | 2256 S 3600 W STE A, SALT LAKE CITY, UT, 84119, United States |
| Mailing address: | 2256 S 3600 W STE A, SALT LAKE CITY, UT, United States, 84119 |
| Mailing jurisdiction address: | 251 LITTLE FALLS DRIVE, WILMINGTON, DE, 19808, United States |
| Place of Formation: | DELAWARE |
| E-Mail: | compliancemail@cscglobal.com |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Andrew Glover | Officer | 2256 S 3600 W STE A, SALT LAKE CITY, UT, 84119, United States | 2256 S 3600 W STE A, SALT LAKE CITY, UT, 84119, United States |
| Kristen Tveit | Officer | 2256 S 3600 W STE A, SALT LAKE CITY, UT, 84119, United States | 8621 ROBERT FULTON DRIVE, COLUMBIA, MD, 21046, United States |
| Anthony Palmisano Jr. | Officer | 2256 S 3600 W STE A, SALT LAKE CITY, UT, 84119, United States | 2256 S 3600 W STE A, SALT LAKE CITY, UT, 84119, United States |
| Mostafa Kamal | Officer | 2900 Ames Crossing Road, Eagan, MN, 55121, United States | 2900 Ames Crossing Road, Eagan, MN, 55121, United States |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | MAGELLAN RX PHARMACY, LLC | PRIME THERAPEUTICS PHARMACY LLC | 2024-09-16 |
| Name change | ICORE HEALTHCARE, LLC | MAGELLAN RX PHARMACY, LLC | 2015-02-13 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012735148 | 2024-08-19 | 2024-09-16 | Amendment | Amendment of Foreign Registration Statement | No data |
| BF-0012631156 | 2024-05-06 | 2024-05-06 | Change of Agent | Agent Change | No data |
| BF-0012164600 | 2024-02-25 | No data | Annual Report | Annual Report | No data |
| BF-0011296216 | 2023-03-13 | No data | Annual Report | Annual Report | No data |
| BF-0010203641 | 2022-03-27 | No data | Annual Report | Annual Report | 2022 |
| BF-0010456051 | 2022-01-14 | 2022-01-14 | Mass Agent Change � Address | Agent Address Change | No data |
| 0007230430 | 2021-03-15 | No data | Annual Report | Annual Report | 2021 |
| 0006943532 | 2020-07-06 | 2020-07-06 | Change of Agent Address | Agent Address Change | No data |
| 0006950703 | 2020-07-06 | 2020-07-06 | Change of Agent Address | Agent Address Change | No data |
| 0006895822 | 2020-04-30 | No data | Annual Report | Annual Report | 2020 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
