| Entity Name: | ANDREWS DRUGS OF PERRY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 09 Jan 1967 (58 years ago) |
| Document Number: | 312544 |
| FEI/EIN Number | 591156375 |
| Address: | 1707 S JEFFERSON ST, PERRY, FL, 32347 |
| Mail Address: | PO BOX 6, PERRY, FL, 32348 |
| ZIP code: | 32347 |
| County: | Taylor |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518039395 | 2006-11-15 | 2011-05-20 | PO BOX 6, PERRY, FL, 323480006, US | 1707 S JEFFERSON ST, PERRY, FL, 323485612, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 850-584-3720 |
| Fax | 8508381622 |
Authorized person
| Name | SHERI SPRADLEY |
| Role | BOOKKEEPER |
| Phone | 8505843720 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH1701 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1019353 |
| Issuer | MEDICAID |
| Number | 101169300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ADAMS, W.H. | Agent | 1707 S JEFFERSON ST, PERRY, FL, 32347 |
| Name | Role | Address |
|---|---|---|
| ANDREWS FAYE | President | 356 W. MADISON, STARKE, FL |
| Name | Role | Address |
|---|---|---|
| ANDREWS FAYE | Director | 356 W. MADISON, STARKE, FL |
| ADAMS,W H | Director | 1707 S JEFFERSON ST, PERRY, FL |
| Name | Role | Address |
|---|---|---|
| ADAMS,W H | Secretary | 1707 S JEFFERSON ST, PERRY, FL |
| Name | Role | Address |
|---|---|---|
| ADAMS,W H | Treasurer | 1707 S JEFFERSON ST, PERRY, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13001460212 | ACTIVE | 1000000529332 | BRADFORD | 2013-09-09 | 2033-10-03 | $ 1,124.15 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TALLAHASSEE SERVICE CENTER, 267 JOHN KNOX RD STE 200, TALLAHASSEE FL323036692 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
