0001620819-14-000002.txt : 20141027 0001620819-14-000002.hdr.sgml : 20141027 20141027105833 ACCESSION NUMBER: 0001620819-14-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20141027 DATE AS OF CHANGE: 20141027 EFFECTIVENESS DATE: 20141027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: TBD Mississippi Pharmacy Management, LLC CENTRAL INDEX KEY: 0001620819 IRS NUMBER: 471865795 STATE OF INCORPORATION: MS FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-227136 FILM NUMBER: 141173815 BUSINESS ADDRESS: STREET 1: 11880 28TH STREET NORTH STREET 2: SUITE 100 CITY: ST. PETERSBURG STATE: FL ZIP: 33716 BUSINESS PHONE: 7273028135 MAIL ADDRESS: STREET 1: 11880 28TH STREET NORTH STREET 2: SUITE 100 CITY: ST. PETERSBURG STATE: FL ZIP: 33716 D 1 primary_doc.xml X0707 D LIVE 0001620819 TBD Mississippi Pharmacy Management, LLC 11880 28TH STREET NORTH SUITE 100 ST. PETERSBURG FL FLORIDA 33716 7273028135 MISSISSIPPI None None Limited Liability Company true 2014 Kerry Nicklas 11880 28th Street North Suite 100 St. Petersburg FL FLORIDA 33716 Executive Officer Pharmaceuticals $1 - $1,000,000 06b false true false true false 8750 350000 0 350000 false 0 0 0 0 false TBD Mississippi Pharmacy Management, LLC Kerry Nicklas Kerry Nicklas Director of Compliance 2014-10-27