| Entity Name: | CHEEK PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 Jun 1965 (60 years ago) |
| Document Number: | 293854 |
| FEI/EIN Number | 591104408 |
| Address: | 16734 S.E. 19 HWY, CROSS CITY, FL, 32628, US |
| Mail Address: | 16740 Caravaggio loop, montverde, FL, 34756, US |
| ZIP code: | 32628 |
| County: | Dixie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760483572 | 2005-08-02 | 2016-12-16 | PO BOX 5020, CROSS CITY, FL, 326285020, US | 16734 SE 19 HWY, CROSS CITY, FL, 326285020, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 352-498-3342 |
| Fax | 3524984111 |
Authorized person
| Name | JOHN BOATRIGHT |
| Role | PRES |
| Phone | 3524983342 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH147 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2004026 |
| Issuer | MEDICAID |
| Number | 100830700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PATEL HARIT | Agent | 16740 Caravaggio loop, montverde, FL, 34756 |
| Name | Role | Address |
|---|---|---|
| PATEL HARIT | Director | 16740 Caravaggio loop, montverde, FL, 34756 |
| patel shruti | Director | 11050 autumn lane, clermont, FL, 34711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2020-10-21 | No data | No data |
| AMENDMENT | 2018-07-16 | No data | No data |
| NAME CHANGE AMENDMENT | 2002-11-19 | CHEEK PHARMACY, INC. | No data |
| AMENDMENT | 1995-09-11 | No data | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
