| Entity Name: | GRI-SAN, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 27 Mar 1974 (51 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 24 Sep 1996 (28 years ago) |
| Document Number: | 449293 |
| FEI/EIN Number | 59-1515694 |
| Address: | 6050 SW 18 Court Road, OCALA, FL 34471 |
| Mail Address: | 6050 SW 18 Ct Rd, OCALA, FL 34471 |
| ZIP code: | 34471 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568466266 | 2005-06-09 | 2021-04-05 | 3450 NE JACKSONVILLE RD, OCALA, FL, 344792850, US | 3450 NE JACKSONVILLE RD, OCALA, FL, 344792850, US | |||||||||||||||||||||||||||||
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| Phone | +1 352-732-4655 |
| Fax | 3527320407 |
Authorized person
| Name | MR. LARRY R GRIFFIN |
| Role | OWNER PHARMACIST |
| Phone | 3527324655 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH3047 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 102313600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GRIFFIN, LARRY | Agent | 6050 SW 18 Ct Rd, OCALA, FL 34471 |
| Name | Role | Address |
|---|---|---|
| GRIFFIN, LARRY | President | 6050 SW 18 Court Road, OCALA, FL 34471 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-22 | 6050 SW 18 Court Road, OCALA, FL 34471 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-22 | 6050 SW 18 Court Road, OCALA, FL 34471 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-22 | 6050 SW 18 Ct Rd, OCALA, FL 34471 | No data |
| REINSTATEMENT | 1996-09-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1996-08-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 1994-01-20 | GRIFFIN, LARRY | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-20 |
| ANNUAL REPORT | 2015-04-21 |
Date of last update: 06 Feb 2025
Sources: Florida Department of State
