| Entity Name: | LIBERTY HOME PHARMACY CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 25 Jan 2000 (25 years ago) |
| Date of dissolution: | 14 Sep 2007 (18 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 14 Sep 2007 (18 years ago) |
| Document Number: | F00000000468 |
| FEI/EIN Number |
061553683
Federal Employer Identification (FEI) Number assigned by the IRS. |
| 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 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 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 | Address |
|---|---|---|
| MARK ROBERT N | President | 1976 NE RIVER CT, JENSEN BEACH, FL, 34957 |
| MARK ROBERT N | Secretary | 1976 NE RIVER CT, JENSEN BEACH, FL, 34957 |
| MARK ROBERT N | Treasurer | 1976 NE RIVER CT, JENSEN BEACH, FL, 34957 |
| ANDERSON DEVIN J | Director | 115 BCH ST, WRENTHAM, MA, 02093 |
| C T CORPORATION SYSTEM | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2007-09-14 | - | - |
| REGISTERED AGENT NAME CHANGED | 2004-04-22 | C T CORPORATION SYSTEM | - |
| REGISTERED AGENT ADDRESS CHANGED | 2004-04-22 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2003-02-03 | 8881 LIBERTY LANE, PORT SAINT LUCIE, FL 34952 | - |
| CHANGE OF MAILING ADDRESS | 2003-02-03 | 8881 LIBERTY LANE, PORT SAINT LUCIE, FL 34952 | - |
| 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: 03 Apr 2025
Sources: Florida Department of State
