| LCA CASE NUMBER | I-200-21034-051321 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-03 |
| DECISION DATE | 2021-02-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pharmacy Manager |
| SOC CODE | 29-1051.00 |
| SOC TITLE | Pharmacists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-01 |
| END DATE | 2024-07-31 |
| 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 | DERRY STREET PHARMACY LLC |
| EMPLOYER ADDRESS1 | 1304 DERRY STREET |
| EMPLOYER CITY | Harrisburg |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 17104 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13015249481 |
| NAICS CODE | 446110 |
| EMPLOYER POC LAST NAME | Arikeri |
| EMPLOYER POC FIRST NAME | Soumya |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS 1 | 1304 DERRY STREET |
| EMPLOYER POC CITY | Harrisburg |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 17104 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13015249481 |
| EMPLOYER POC EMAIL | DERRYSTREETRX@GMAIL.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Malik, Esq. |
| AGENT ATTORNEY FIRST NAME | Jitesh |
| AGENT ATTORNEY ADDRESS1 | 55 Old Nyack Turnpike, Suite 404 |
| AGENT ATTORNEY CITY | Nanuet |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10954 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12125457770 |
| AGENT ATTORNEY PHONE EXT | 201 |
| AGENT ATTORNEY EMAIL ADDRESS | jnacato@malikpopiel.com |
| LAWFIRM NAME BUSINESS NAME | Malik & Popiel, P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York Supreme Court |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1304 Derry Street |
| LCA CASE WORKLOC1 CITY | Harrisburg |
| WORKSITE COUNTY | DAUPHIN |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 17104 |
| LCA CASE WAGE RATE FROM | 141440 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 120578 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Malik |
| PREPARER FIRST NAME | Jitesh |
| PREPARER BUSINESS NAME | Malik & Popiel, P.C. |
| PREPARER EMAIL | jmalik@malikpopiel.com |
