| Entity Name: | CONDOMINIUM PHARMACY INCORPORATED |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 30 Nov 1976 (48 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | 522062 |
| FEI/EIN Number | 59-1705701 |
| Address: | 4790 N.W. 7TH STREET, C/O JOSE L. FUENTES, MIAMI, FL 33126 |
| Mail Address: | 4790 N.W. 7TH STREET, C/O JOSE L. FUENTES, MIAMI, FL 33126 |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942361761 | 2006-12-13 | 2020-08-22 | 4790 NW 7TH ST, MIAMI, FL, 331262200, US | 4790 NW 7TH ST, MIAMI, FL, 331262200, US | |||||||||||||||||||||||||||
|
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| Phone | +1 305-448-1000 |
| Fax | 3054483742 |
Authorized person
| Name | JOSE FUENTES |
| Role | TREASURER |
| Phone | 3054481000 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH0006833 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | OTHER ID NUMBER-COMMERCIAL NUMBER |
| Number | 1029924 |
| Name | Role | Address |
|---|---|---|
| FUENTES, JOSE L. | Agent | 4790 N.W. 7TH STREET, MIAMI, FL 33126 |
| Name | Role | Address |
|---|---|---|
| VAZQUEZ, HIRAM F | President | 71 BROADLAWN, ARDMORE, OKL 00000 |
| Name | Role | Address |
|---|---|---|
| VAZQUEZ, HIRAM F | Director | 71 BROADLAWN, ARDMORE, OKL 00000 |
| FUENTES, JOSE L | Director | 641 SW 99 PLACE, MIAMI, FL 00000 |
| Name | Role | Address |
|---|---|---|
| FUENTES, JOSE L | Secretary | 641 SW 99 PLACE, MIAMI, FL 00000 |
| Name | Role | Address |
|---|---|---|
| FUENTES, JOSE L | Treasurer | 641 SW 99 PLACE, MIAMI, FL 00000 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1980-09-16 | 4790 N.W. 7TH STREET, C/O JOSE L. FUENTES, MIAMI, FL 33126 | No data |
| CHANGE OF MAILING ADDRESS | 1980-09-16 | 4790 N.W. 7TH STREET, C/O JOSE L. FUENTES, MIAMI, FL 33126 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1980-09-16 | 4790 N.W. 7TH STREET, MIAMI, FL 33126 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-01-31 |
| ANNUAL REPORT | 2007-02-06 |
| ANNUAL REPORT | 2006-02-08 |
| ANNUAL REPORT | 2005-02-08 |
| ANNUAL REPORT | 2004-03-17 |
| ANNUAL REPORT | 2003-01-08 |
| ANNUAL REPORT | 2002-01-29 |
| ANNUAL REPORT | 2001-01-25 |
| ANNUAL REPORT | 2000-01-24 |
| ANNUAL REPORT | 1999-01-28 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
