| Entity Name: | COOPERS DRUGS INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 Jan 1955 (70 years ago) |
| Document Number: | 182185 |
| FEI/EIN Number | 590730699 |
| Address: | 700 E. BUSINESS HWY. 98, PANAMA CITY, FL, 32401 |
| Mail Address: | P. O. BOX 72188, ALBANY, GA, 31708, US |
| ZIP code: | 32401 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962402057 | 2005-07-29 | 2024-03-29 | 700 E BUS HIGHWAY 98, PANAMA CITY, FL, 324013514, US | 700 E BUS HWY 98, PANAMA CITY, FL, 324013514, US | |||||||||||||||||||||||||
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| Phone | +1 850-763-2172 |
| Fax | 8507699601 |
Authorized person
| Name | MR. THOMAS SHARPE |
| Role | VICE PRESIDENT |
| Phone | 2924354571 |
Taxonomy
| Taxonomy Code | 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | PH1174 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 101063800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PICKENS RONALD O | Agent | 8140 Pope St, SNEADS, FL, 32460 |
| Name | Role | Address |
|---|---|---|
| SHARPE FRED F | President | P. O. BOX 72188, ALBANY, GA, 31708 |
| Name | Role | Address |
|---|---|---|
| SCOTT LENDON | Vice President | 479 FORRESTER RD, DOTHAN, AL, 36301 |
| COTTRELL DANNY | Vice President | 114 BROOKS BLVD, BREWTON, AL, 36426 |
| Name | Role | Address |
|---|---|---|
| ALLIGOOD TRACY C | Secretary | 1504 US HIGHWAY 19 S, Leesburg, GA, 31763 |
| Name | Role | Address |
|---|---|---|
| Sharpe Thomas | Director | 1504 US Highway 19 S, Leesburg, GA, 31763 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2011-03-16 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| REINSTATEMENT | 2000-10-04 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2000-09-22 | No data | No data |
| REINSTATEMENT | 1992-03-03 | No data | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
