| Entity Name: | OCEAN SIDE PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 26 Jun 1979 (46 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | 627463 |
| FEI/EIN Number | 59-1913520 |
| Address: | 1118 COLONNADES DRIVE, FT PIERCE, FL 34949 |
| Mail Address: | 601 SE. Dar Lane, Port Saint Lucie, FL 34984 |
| ZIP code: | 34949 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104990621 | 2006-11-17 | 2008-06-25 | 1118 COLONNADES DR, FT PIERCE, FL, 349493063, US | 1118 COLONNADES DR, FT PIERCE, FL, 349493063, US | |||||||||||||||||||||
|
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| Phone | +1 772-465-1118 |
| Fax | 7724652426 |
Authorized person
| Name | MR. LARRIE DAVID SESKIN |
| Role | OWNER |
| Phone | 7724651118 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 102373000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SESKIN, KIM R | Agent | 601 S.E DAR LANE, PORT ST. LUCIE, FL 34984 |
| Name | Role | Address |
|---|---|---|
| SESKIN, KIM R | MRS. | 601 S.E. DAR LANE, PORT SAINT LUCIE, FL 34984 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2018-01-29 | 1118 COLONNADES DRIVE, FT PIERCE, FL 34949 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-07-20 | 1118 COLONNADES DRIVE, FT PIERCE, FL 34949 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-07-20 | SESKIN, KIM R | No data |
| REINSTATEMENT | 2000-10-20 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2000-09-22 | No data | No data |
| REINSTATEMENT | 1999-11-15 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1998-10-16 | No data | No data |
| REINSTATEMENT | 1997-11-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1997-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-01-29 |
| ANNUAL REPORT | 2017-01-23 |
| ANNUAL REPORT | 2016-03-18 |
| ANNUAL REPORT | 2015-01-12 |
| ANNUAL REPORT | 2014-02-14 |
| ANNUAL REPORT | 2013-02-22 |
| ANNUAL REPORT | 2012-01-11 |
| ANNUAL REPORT | 2011-01-10 |
| ANNUAL REPORT | 2010-04-29 |
| ANNUAL REPORT | 2009-07-20 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
