| LCA CASE NUMBER | I-200-21090-186222 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-30 |
| DECISION DATE | 2021-04-06 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHARMACIST IN CHARGE |
| SOC CODE | 29-1051.00 |
| SOC TITLE | Pharmacists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-05-01 |
| END DATE | 2024-04-30 |
| 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 | PRIME CARE INC. |
| TRADE NAME DBA | PEREZVILLE PHARMACY |
| EMPLOYER ADDRESS1 | 138 Kayen Chando Street |
| EMPLOYER CITY | Dededo |
| EMPLOYER STATE | GU |
| EMPLOYER POSTAL CODE | 96929 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16716326000 |
| NAICS CODE | 446110 |
| EMPLOYER POC LAST NAME | Bautista |
| EMPLOYER POC FIRST NAME | LeeAnn |
| EMPLOYER POC MIDDLE NAME | M |
| EMPLOYER POC JOB TITLE | HR Manager |
| EMPLOYER POC ADDRESS 1 | 138 Kayen Chando Street |
| EMPLOYER POC CITY | Dededo |
| EMPLOYER POC STATE | GU |
| EMPLOYER POC POSTAL CODE | 96929 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16716326000 |
| EMPLOYER POC PHONE EXT | 403 |
| EMPLOYER POC EMAIL | leeann.bautista@medpharmusa.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kondas |
| AGENT ATTORNEY FIRST NAME | Mark |
| AGENT ATTORNEY MIDDLE NAME | Edward |
| AGENT ATTORNEY ADDRESS1 | 238 Archbishop Flores Street |
| AGENT ATTORNEY ADDRESS2 | Suite 903, DNA Building |
| AGENT ATTORNEY CITY | Hagatna |
| AGENT ATTORNEY STATE | GU |
| AGENT ATTORNEY POSTAL CODE | 96910 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16714779084 |
| AGENT ATTORNEY EMAIL ADDRESS | mark.kondas@baumannguam.com |
| LAWFIRM NAME BUSINESS NAME | BAUMANN, KONDAS AND XU, LLC |
| STATE OF HIGHEST COURT | GU |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF GUAM |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 851 GOV. CARLOS CAMACHO ROAD |
| LCA CASE WORKLOC1 CITY | TAMUNING |
| WORKSITE COUNTY | TAMUNING |
| LCA CASE WORKLOC1 STATE | GU |
| WORKSITE POSTAL CODE | 96913 |
| LCA CASE WAGE RATE FROM | 121971 |
| LCA CASE WAGE RATE TO | 124800 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 121971 |
| 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 | KONDAS |
| PREPARER FIRST NAME | MARK |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | BAUMANN, KONDAS AND XU, LLC |
| PREPARER EMAIL | MARK.KONDAS@BAUMANNGUAM.COM |
