0001625156-14-000001.txt : 20141117 0001625156-14-000001.hdr.sgml : 20141117 20141117091546 ACCESSION NUMBER: 0001625156-14-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20141117 DATE AS OF CHANGE: 20141117 EFFECTIVENESS DATE: 20141117 FILER: COMPANY DATA: COMPANY CONFORMED NAME: TBD Indiana Pharmacy Management, LLC CENTRAL INDEX KEY: 0001625156 IRS NUMBER: 472218190 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-228436 FILM NUMBER: 141226549 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 0001625156 TBD Indiana Pharmacy Management, LLC 11880 28TH STREET NORTH SUITE 100 ST. PETERSBURG FL FLORIDA 33716 7273028135 INDIANA 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 Indiana Pharmacy Management, LLC Kerry Nicklas Kerry Nicklas Director of Compliance 2014-11-17