| LCA CASE NUMBER | I-200-20353-970911 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-12-18 |
| DECISION DATE | 2020-12-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHARMACIST |
| SOC CODE | 29-1051.00 |
| SOC TITLE | Pharmacists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-12-28 |
| END DATE | 2023-12-27 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | SUBURBAN PHARMACY LTC INC. |
| TRADE NAME DBA | SUBURBAN PHARMACY LONG TERM CARE |
| EMPLOYER ADDRESS1 | 342 N MAIN ST |
| EMPLOYER ADDRESS2 | STE 70 |
| EMPLOYER CITY | WEST HARTFORD |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6117 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18608821808 |
| NAICS CODE | 446110 |
| EMPLOYER POC LAST NAME | ANNAMANENI |
| EMPLOYER POC FIRST NAME | SATYANARAYANA |
| EMPLOYER POC JOB TITLE | DIRECTOR |
| EMPLOYER POC ADDRESS 1 | 342 N MAIN ST |
| EMPLOYER POC ADDRESS 2 | STE 70 |
| EMPLOYER POC CITY | WEST HARTFORD |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06117 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18608821808 |
| EMPLOYER POC EMAIL | SUBURBANCT@GMAIL.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | JETHMALANI |
| AGENT ATTORNEY FIRST NAME | ANIL |
| AGENT ATTORNEY ADDRESS1 | 42 BROADWAY |
| AGENT ATTORNEY ADDRESS2 | SUITE 1548 |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10004 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12124069257 |
| AGENT ATTORNEY EMAIL ADDRESS | SANDEEP@JNATTORNEY.COM |
| LAWFIRM NAME BUSINESS NAME | Jethmalani & Nallaseth PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 342 N MAIN ST |
| WORKSITE ADDRESS2 | STE 70 |
| LCA CASE WORKLOC1 CITY | WEST HARTFORD |
| WORKSITE COUNTY | WEST HARTFORD |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6117 |
| LCA CASE WAGE RATE FROM | 110760 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 100610 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
