| LCA CASE NUMBER | I-200-21301-674842 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-28 |
| DECISION DATE | 2021-11-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHARMACIST |
| SOC CODE | 29-1051.00 |
| SOC TITLE | Pharmacists |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-11-08 |
| END DATE | 2024-11-07 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | BRANDRA PHARMACEUTICALS INC |
| TRADE NAME DBA | HACKENSACK PHARMACY |
| EMPLOYER ADDRESS1 | 441 Passaic St |
| EMPLOYER CITY | Hackensack |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 07601 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12014881230 |
| NAICS CODE | 446110 |
| EMPLOYER POC LAST NAME | CABALLERO |
| EMPLOYER POC FIRST NAME | DOUGLAS |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS1 | 441 PASSAIC ST |
| EMPLOYER POC CITY | HACKENSACK |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 07601 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12012646244 |
| EMPLOYER POC EMAIL | HACKENSACKRX@GMAIL.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | JEON |
| AGENT ATTORNEY FIRST NAME | YU YEONG |
| AGENT ATTORNEY ADDRESS1 | 111 Town Square Pl |
| AGENT ATTORNEY CITY | Jersey City |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 07310-2784 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19177400883 |
| AGENT ATTORNEY EMAIL ADDRESS | ADMIN@LAWYERELENA.COM |
| LAWFIRM NAME BUSINESS NAME | Attorney Jeon LLC |
| STATE OF HIGHEST COURT | NJ |
| NAME OF HIGHEST STATE COURT | Supreme Court of New Jersey |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 441 PASSAIC ST |
| LCA CASE WORKLOC1 CITY | HACKENSACK |
| WORKSITE COUNTY | BERGEN |
| LCA CASE WORKLOC1 STATE | NJ |
| WORKSITE POSTAL CODE | 07601 |
| LCA CASE WAGE RATE FROM | 45 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 42.39 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | JEON |
| PREPARER FIRST NAME | YU YEONG |
| PREPARER BUSINESS NAME | ATTORNEY JEON LLC |
| PREPARER EMAIL | ADMIN@LAWYERELENA.COM |
