| Entity Name: | PASTEUR PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 01 Dec 1975 (49 years ago) |
| Document Number: | 491768 |
| FEI/EIN Number | 591642813 |
| Address: | 3233 PALM AVE, HIALEAH FL, 33012 |
| Mail Address: | 3233 PALM AVE, HIALEAH FL, 33012 |
| ZIP code: | 33012 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528508132 | 2017-03-01 | 2017-03-02 | 4544 W 12TH AVE, HIALEAH, FL, 330123325, US | 4544 W 12TH AVE, HIALEAH, FL, 330123325, US | |||||||||||||||||||
|
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| Phone | +1 305-828-3388 |
| Fax | 3058234161 |
Authorized person
| Name | IVAN PEREZ |
| Role | PHARMACYQUALITY ANALYST |
| Phone | 3054488100 |
Taxonomy
| Taxonomy Code | 332900000X - Non-Pharmacy Dispensing Site |
| License Number | 607583 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SPIVACK DAVID | Agent | 1 ALHAMBRA PLAZA, CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| SPIVACK DAVID | Vice President | 1 ALHAMBRA PLAZA, SUITE 1000, CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| LOWELL WAYNE | Treasurer | 5995 PLAZA DRIVE, CYPRESS, CA, 90630 |
| Name | Role | Address |
|---|---|---|
| FOLICK JEFFREY | Chairman | 5995 PLAZA DRIVE, CYPRESS, CA, 90630 |
| Name | Role | Address |
|---|---|---|
| FOLICK JEFFREY | Director | 5995 PLAZA DRIVE, CYPRESS, CA, 90630 |
| GOODSTEIN MITCHELL | Director | 1 ALHAMBRA PLAZA, SUITE 1000, CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| GOODSTEIN MITCHELL | President | 1 ALHAMBRA PLAZA, SUITE 1000, CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| KONOWIECKI JOSPEH | Secretary | 5995 PLAZA DRIVE, CYPRESS, CA, 90630 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CORPORATE MERGER | 1996-01-31 | No data | CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS 328103. CORPORATE MERGER NUMBER 500000009205 |
| REINSTATEMENT | 1995-12-29 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1995-08-25 | No data | No data |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
