| Entity Name: | LAKE PLACID DRUG COMPANY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 04 Oct 1978 (46 years ago) |
| Document Number: | 588531 |
| FEI/EIN Number | 591870459 |
| Address: | 224 E INTERLAKE BLVD, LAKE PLACID, FL, 33852-9603 |
| Mail Address: | 224 E INTERLAKE BLVD, LAKE PLACID, FL, 33852-9603 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790784346 | 2005-07-16 | 2020-08-22 | 224 E INTERLAKE BLVD, LAKE PLACID, FL, 338529603, US | 224 E INTERLAKE BLVD, LAKE PLACID, FL, 338529603, US | |||||||||||||||||||
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| Fax | 8634653977 |
| Phone | +1 863-465-2751 |
Authorized person
| Name | CHARLES D. STIDHAM |
| Role | OWNER/PHARMACIST |
| Phone | 8634652291 |
Taxonomy
| Taxonomy Code | 183500000X - Pharmacist |
| License Number | PH659 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STIDHAM, CHARLES D | Agent | 224 E INTERLAKE BLVD, LAKE PLACID, FL |
| Name | Role | Address |
|---|---|---|
| STIDHAM, CHARLES D | President | 224 E. INTERLAKE BLVD, LAKE PLACID, FL |
| Name | Role | Address |
|---|---|---|
| STIDHAM, CHARLES D | Treasurer | 224 E. INTERLAKE BLVD, LAKE PLACID, FL |
| Name | Role | Address |
|---|---|---|
| STIDHAM, CHARLES D | Director | 224 E. INTERLAKE BLVD, LAKE PLACID, FL |
| STIDHAM, DOROTHY C | Director | 224 E INTERLAKE BLVD, LAKE PLACID, FL |
| Name | Role | Address |
|---|---|---|
| STIDHAM, DOROTHY C | Secretary | 224 E INTERLAKE BLVD, LAKE PLACID, FL |
| Name | Role | Address |
|---|---|---|
| STIDHAM LAWRENCE D. | Vice President | 224 E INTERLAKE BLVD, LAKE PLACID, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
