| LCA CASE NUMBER | I-200-20112-506070 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-21 |
| DECISION DATE | 2020-04-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pharmacy Intern |
| SOC CODE | 29-2052.00 |
| SOC TITLE | Pharmacy Technicians |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-10-01 |
| END DATE | 2023-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Lifecare Pharmacy of Denver City, Inc. |
| TRADE NAME DBA | Liberty Drugs |
| EMPLOYER ADDRESS1 | 403 Mustang Dr. |
| EMPLOYER CITY | Denver City |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 79323 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18065922765 |
| NAICS CODE | 446110 |
| EMPLOYER POC LAST NAME | Kalidindi |
| EMPLOYER POC FIRST NAME | Prem |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 403 Mustang Dr. |
| EMPLOYER POC CITY | Denver City |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 79323 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18065922765 |
| EMPLOYER POC EMAIL | hr@lifecarepharmacy.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Mooney, Esq. |
| AGENT ATTORNEY FIRST NAME | Ryan |
| AGENT ATTORNEY MIDDLE NAME | P |
| AGENT ATTORNEY ADDRESS1 | 7606 Transit Road, Suite 200 |
| AGENT ATTORNEY CITY | Buffalo |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14221 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17166897770.0 |
| AGENT ATTORNEY PHONE EXT | 103.0 |
| AGENT ATTORNEY EMAIL ADDRESS | rmooney@malikpopiel.com |
| LAWFIRM NAME BUSINESS NAME | Malik & Popiel, P.C. |
|
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 403 Mustang Dr. |
| LCA CASE WORKLOC1 CITY | Denver City |
| WORKSITE COUNTY | YOAKUM |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 79323 |
| LCA CASE WAGE RATE FROM | 14.73 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 14.73 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Mooney |
| PREPARER FIRST NAME | Ryan |
| PREPARER MIDDLE INITIAL | P |
| PREPARER BUSINESS NAME | Malik & Popiel, P.C. |
| PREPARER EMAIL | rmooney@malikpopiel.com |
