| LCA CASE NUMBER | I-200-23083-876816 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-03-24 |
| DECISION DATE | 2023-03-31 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pharmacist |
| SOC CODE | 29-1051 |
| SOC TITLE | Pharmacist |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-04-10 |
| END DATE | 2026-04-09 |
| 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 | Sam's Prescription Shop Inc. |
| TRADE NAME DBA | Sam's Health Mart Pharmacies |
| EMPLOYER ADDRESS1 | 300 N Morley Street |
| EMPLOYER ADDRESS2 | Ste. I |
| 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 | Pharmacist |
| EMPLOYER POC ADDRESS1 | 300 N Morley Street |
| EMPLOYER POC ADDRESS2 | Ste. I |
| 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 | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | McCrummen |
| AGENT ATTORNEY FIRST NAME | Roger |
| AGENT ATTORNEY MIDDLE NAME | K. |
| AGENT ATTORNEY ADDRESS1 | P.O. Box 34664 |
| AGENT ATTORNEY CITY | N. Kansas City |
| AGENT ATTORNEY STATE | MO |
| AGENT ATTORNEY POSTAL CODE | 64116-4664 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18162215444 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | McCrummen Immigration Law Group, LLC |
| STATE OF HIGHEST COURT | MO |
| NAME OF HIGHEST STATE COURT | The Supreme Court of Missouri |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 530 E 24 Highway |
| LCA CASE WORKLOC1 CITY | Moberly |
| WORKSITE COUNTY | RANDOLPH |
| LCA CASE WORKLOC1 STATE | MO |
| WORKSITE POSTAL CODE | 65270 |
| LCA CASE WAGE RATE FROM | 85000 |
| LCA CASE WAGE RATE TO | 105000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 78541 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER BUSINESS NAME | Not Applicable |
