| LCA CASE NUMBER | I-200-20118-520573 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-27 |
| DECISION DATE | 2020-05-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pharmacy Manager |
| SOC CODE | 29-1051.00 |
| SOC TITLE | Pharmacists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-12 |
| END DATE | 2023-09-12 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | S & R PHARMACY LLC |
| TRADE NAME DBA | FULLER MEDICAL CENTER PHARMACY |
| EMPLOYER ADDRESS1 | 6918 RIDGE ROAD |
| EMPLOYER CITY | BALTIMORE |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 21237 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14105741440 |
| NAICS CODE | 446110 |
| EMPLOYER POC LAST NAME | POTLURI |
| EMPLOYER POC FIRST NAME | SYAM |
| EMPLOYER POC JOB TITLE | SR. PHARMACY MANAGER |
| EMPLOYER POC ADDRESS1 | 6918 RIDGE ROAD |
| EMPLOYER POC CITY | BALTIMORE |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 21237 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14105741440 |
| EMPLOYER POC EMAIL | FULLERPHARMACY@GMAIL.COM |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | RODDAM |
| AGENT ATTORNEY FIRST NAME | PREMA |
| AGENT ATTORNEY MIDDLE NAME | L |
| AGENT ATTORNEY ADDRESS1 | 295 PIERSON AVENUE |
| AGENT ATTORNEY CITY | EDISON |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 8837 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17322058600.0 |
| AGENT ATTORNEY EMAIL ADDRESS | NJCHUGH.LCA@CHUGH.COM |
| LAWFIRM NAME BUSINESS NAME | CHUGH, LLP |
| STATE OF HIGHEST COURT | NY |
|
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 6918 Ridge Rd, |
| LCA CASE WORKLOC1 CITY | Baltimore |
| WORKSITE COUNTY | HOWARD |
| LCA CASE WORKLOC1 STATE | MD |
| WORKSITE POSTAL CODE | 21237 |
| LCA CASE WAGE RATE FROM | 125000.0 |
| LCA CASE WAGE RATE TO | 130000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 123094.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 | RODDAM |
| PREPARER FIRST NAME | PREMA |
| PREPARER MIDDLE INITIAL | L |
| PREPARER BUSINESS NAME | CHUGH, LLP |
| PREPARER EMAIL | NJCHUGH.LCA@CHUGH.COM |
