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Executive Medical Supplies LLC

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Company Details

Name: Executive Medical Supplies LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 04 Apr 2011 (14 years ago)
Business ID: 981193
ZIP code: 39074
County: Scott
State of Incorporation: MISSISSIPPI
Principal Office Address: 135 e third stforest, MS 39074

Agent

Name Role Address
Collins, Milo Agent 135 E 3rd St, Forest, MS 39074

Manager

Name Role Address
Milo Collins Manager 135 E 3rd St, Forest, MS 39074

Member

Name Role Address
Milo Collins Member 135 E 3rd St, Forest, MS 39074
TONICA LEE Member 209 N FIR AVE, COLLINS, MS 39428

National Provider Identifier

NPI Number:
1801292214

Authorized Person:

Name:
MILO COLLINS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
6014699040

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2016-11-30 Admin Dissolution
Notice to Dissolve/Revoke Filed 2016-09-06 Notice to Dissolve/Revoke
Annual Report LLC Filed 2015-10-26 Annual Report For Executive Medical Supplies LLC
Notice to Dissolve/Revoke Filed 2015-09-16 Notice to Dissolve/Revoke
Amendment Form Filed 2014-11-13 Amendment For Executive Medical Supplies LLC
Annual Report LLC Filed 2014-10-15 Annual Report For Executive Medical Supplies LLC
Notice to Dissolve/Revoke Filed 2014-10-13 Notice to Dissolve/Revoke
Amendment Form Filed 2013-05-15 Amendment
Formation Form Filed 2011-04-04 Formation

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Date of last update: 10 May 2025

Sources: Company Profile on Mississippi Secretary of State Website