| Entity Name: | CANTONMENT PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 27 Jun 1973 (52 years ago) |
| Document Number: | 429537 |
| FEI/EIN Number | 591469854 |
| Address: | 433 HIGHWAY 29 SOUTH, CANTONMENT, FL, 32533-1401 |
| Mail Address: | 433 HIGHWAY 29 SOUTH, CANTONMENT, FL, 32533-1401 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568505089 | 2007-02-14 | 2023-03-07 | 433 S HIGHWAY 29, CANTONMENT, FL, 325331401, US | 433 S HIGHWAY 29, CANTONMENT, FL, 325331401, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 850-968-9992 |
| Fax | 8509680459 |
Authorized person
| Name | DR. JOHN THOMAS READING |
| Role | OWNER |
| Phone | 8509689992 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | PH10065 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH10065 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH2748 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 102398500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| READING JOHN TSR. | Agent | 433 HIGHWAY 29 SOUTH, CANTONMENT, FL, 325331401 |
| Name | Role | Address |
|---|---|---|
| READING JOHN T | President | 3407 RIVER GARDEN CIR, PENSACOLA, FL |
| READING JOHN TSR. | President | 3407 RIVER GARDEN CIR, PENSACOLA, FL |
| Name | Role | Address |
|---|---|---|
| READING JOHN T | Director | 3407 RIVER GARDEN CIR, PENSACOLA, FL |
| READING JOHN TSR. | Director | 3407 RIVER GARDEN CIR, PENSACOLA, FL |
| Name | Role | Address |
|---|---|---|
| BASS DEBORAH | Vice President | 3079 PELICAN LAN, PENSACOLA, FL, 32514 |
| READING JOHN | Vice President | 968 BROKEN ARROW LANE, CANTONMENT, FL, 32533 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISS W/ NOTICE | 2014-12-22 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
