| Entity Name: | LIBERTY HOME PHARMACY CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit Corporation |
| Status: | Inactive |
| Date Filed: | 25 Jan 2000 (25 years ago) |
| Date of dissolution: | 14 Sep 2007 (17 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 14 Sep 2007 (17 years ago) |
| Document Number: | F00000000468 |
| FEI/EIN Number | 06-1553683 |
| Address: | 8881 LIBERTY LANE, PORT SAINT LUCIE, FL 34952 |
| Mail Address: | PO BOX 20003, FORT PIERCE, FL 34979 |
| ZIP code: | 34952 |
| County: | St. Lucie |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730170663 | 2005-10-31 | 2020-08-22 | PO BOX 20003, FORT PIERCE, FL, 349790003, US | 8881 LIBERTY LN, PORT ST LUCIE, FL, 349523477, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 877-891-2545 |
| Fax | 8778912546 |
Authorized person
| Name | MR. ROBERT N MARK |
| Role | PRESIDENT |
| Phone | 7723985800 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 73850080 |
| State | CO |
| Issuer | MEDICAID |
| Number | 0001035416 |
| State | DE |
| Issuer | MEDICAID |
| Number | 90002262 |
| State | KY |
| Issuer | MEDICAID |
| Number | 514902 |
| State | AZ |
| Issuer | MEDICAID |
| Number | 51901902 |
| State | HI |
| Issuer | MEDICAID |
| Number | 0548313 |
| State | IA |
| Issuer | MEDICAID |
| Number | 1268330 |
| State | LA |
| Issuer | MEDICAID |
| Number | MS383FL |
| State | AK |
| Issuer | MEDICAID |
| Number | 00864432A |
| State | GA |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| ANDERSON, DEVIN J | Director | 115 BCH ST, WRENTHAM, MA 02093 |
| Name | Role | Address |
|---|---|---|
| MARK, ROBERT N | President | 1976 NE RIVER CT, JENSEN BEACH, FL 34957 |
| Name | Role | Address |
|---|---|---|
| MARK, ROBERT N | Secretary | 1976 NE RIVER CT, JENSEN BEACH, FL 34957 |
| Name | Role | Address |
|---|---|---|
| MARK, ROBERT N | Treasurer | 1976 NE RIVER CT, JENSEN BEACH, FL 34957 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2004-04-22 | C T CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-04-22 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2003-02-03 | 8881 LIBERTY LANE, PORT SAINT LUCIE, FL 34952 | No data |
| CHANGE OF MAILING ADDRESS | 2003-02-03 | 8881 LIBERTY LANE, PORT SAINT LUCIE, FL 34952 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2006-04-19 |
| ANNUAL REPORT | 2005-01-28 |
| ANNUAL REPORT | 2004-04-22 |
| Reg. Agent Change | 2004-03-10 |
| ANNUAL REPORT | 2003-02-03 |
| ANNUAL REPORT | 2002-02-05 |
| ANNUAL REPORT | 2001-02-06 |
| Reg. Agent Change | 2000-07-24 |
| Foreign Profit | 2000-01-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
