| LCA CASE NUMBER | I-200-23004-679690 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-01-03 |
| DECISION DATE | 2023-01-10 |
| 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 | 2023-02-04 |
| END DATE | 2026-02-03 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Sam's Prescription Shop, Inc. |
| TRADE NAME DBA | Sam's Health Mart Pharmacies |
| EMPLOYER ADDRESS1 | 530 E 24 Highway |
| EMPLOYER ADDRESS2 | Post Office Box 957 |
| EMPLOYER CITY | Moberly |
| EMPLOYER STATE | MO |
| EMPLOYER POSTAL CODE | 65270 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16602633309 |
| NAICS CODE | 446110 |
| EMPLOYER POC LAST NAME | Tadrus |
| EMPLOYER POC FIRST NAME | Christian |
| EMPLOYER POC MIDDLE NAME | S |
| EMPLOYER POC JOB TITLE | Managing Partner |
| EMPLOYER POC ADDRESS1 | Post Office Box 957 |
| EMPLOYER POC CITY | Moberly |
| EMPLOYER POC STATE | MO |
| EMPLOYER POC POSTAL CODE | 65270 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16602633309 |
| EMPLOYER POC EMAIL | information@samshealthmart.com |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Sam's |
| WORKSITE ADDRESS1 | 300 N Morley St |
| WORKSITE ADDRESS2 | Post Office Box 957 |
| LCA CASE WORKLOC1 CITY | Moberly |
| WORKSITE COUNTY | RANDOLPH |
| LCA CASE WORKLOC1 STATE | MO |
| WORKSITE POSTAL CODE | 65270 |
| LCA CASE WAGE RATE FROM | 37.76 |
| LCA CASE WAGE RATE TO | 60.43 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 37.76 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Tadrus |
| PREPARER FIRST NAME | Christian |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | Sam's Prescription Shop, Inc. dba Sam's Health Mart Pharmacies |
| PREPARER EMAIL | christian@samshealthmart.com |
