| Entity Name: | MY FAIR HAVEN PHARMACY LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 14 Jul 2015 |
| Business ALEI: | 1180969 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 456110 - Pharmacies and Drug Retailers |
| Business address: | 72 GRAND AVE, NEW HAVEN, CT, 06513, United States |
| Mailing address: | 72 GRAND AVE, NEW HAVEN, CT, United States, 06513 |
| ZIP code: | 06513 |
| County: | New Haven |
| Place of Formation: | CONNECTICUT |
| E-Mail: | INFO@MYFHRX.COM |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| VARMA V MANTHENA | Agent | 72 GRAND AVE, NEW HAVEN, CT, 06513, United States | 72 GRAND AVE, NEW HAVEN, CT, 06513, United States | +1 859-684-2886 | info@myfhrx.com | 8 OLD STONE WAY, NIANTIC, CT, 06357, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| MADHUSUDHAN SAMPRATHI | Officer | No data | 2 Kestrel Dr, Mechanicsburg, PA, 17050-9421, United States |
| MANTHENA V VARMA | Officer | 72 GRAND AVE, NEW HAVEN, CT, 06513, United States | 8 OLD STONE WAY, NIANTIC, CT, 06357, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| PCY.0002381 | PHARMACY | INACTIVE | No data | No data | No data | No data |
| PCY.0002315 | PHARMACY | ACTIVE | CURRENT | 2015-06-30 | 2024-09-01 | 2025-08-31 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012411721 | 2024-11-03 | No data | Annual Report | Annual Report | No data |
| BF-0012511374 | 2023-12-31 | 2024-01-01 | Interim Notice | Interim Notice | No data |
| BF-0012511372 | 2023-12-31 | 2023-12-31 | Interim Notice | Interim Notice | No data |
| BF-0012039250 | 2023-10-31 | 2023-10-31 | Interim Notice | Interim Notice | No data |
| BF-0012025900 | 2023-10-18 | 2023-10-18 | Interim Notice | Interim Notice | No data |
| BF-0011989626 | 2023-09-25 | 2023-09-25 | Interim Notice | Interim Notice | No data |
| BF-0011938725 | 2023-08-18 | 2023-08-18 | Interim Notice | Interim Notice | No data |
| BF-0011218605 | 2023-03-16 | No data | Annual Report | Annual Report | No data |
| BF-0010209279 | 2022-03-19 | No data | Annual Report | Annual Report | 2022 |
| 0007330926 | 2021-05-11 | No data | Annual Report | Annual Report | 2021 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
