Entity Name: | K-T PHARMACY, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 18 Nov 1955 (69 years ago) |
Document Number: | 189052 |
FEI/EIN Number | 590765955 |
Address: | 490 E SUMMERLIN ST, BARTOW, FL, 33830 |
Mail Address: | 490 E SUMMERLIN ST, BARTOW, FL, 33830 |
ZIP code: | 33830 |
County: | Polk |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1477573780 | 2006-07-20 | 2020-08-22 | 490 E SUMMERLIN ST, BARTOW, FL, 338304731, US | 490 E SUMMERLIN ST, BARTOW, FL, 338304731, US | |||||||||||||||||||
|
Phone | +1 863-533-4102 |
Fax | 8635330824 |
Authorized person
Name | MS. GWEN CORTNEY PARKER |
Role | LEAD PHARMACY TECH ASST MANAGER |
Phone | 8635334102 |
Taxonomy
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
License Number | PH19 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
KING STEVEN J | Agent | 490 E SUMMERLIN, BARTOW, FL, 33830 |
Name | Role | Address |
---|---|---|
KING, J. STEVEN | President | 633 LAKE ELBERT DR, W, WINTER HAVEN, FL |
Name | Role | Address |
---|---|---|
KING, JOHN C. | Vice President | 1985 DE LA PALMA, BARTOW, FL |
Name | Role | Address |
---|---|---|
KING LINDA S | Secretary | 633 LAKE ELBERT DR W, WINTER HAVEN, FL |
Name | Role | Address |
---|---|---|
KING LINDA S | Treasurer | 633 LAKE ELBERT DR W, WINTER HAVEN, FL |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State