| Entity Name: | LIFE EXTENSION PHARMACY, INC. |
| 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: | 04 Jan 2006 (19 years ago) |
| Date of dissolution: | 27 Jan 2020 (5 years ago) |
| Last Event: | WITHDRAWAL |
| Event Date Filed: | 27 Jan 2020 (5 years ago) |
| Document Number: | F06000000069 |
| FEI/EIN Number |
204006694
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5990 NORTH FEDERAL HIGHWAY, FT. LAUDERDALE, FL, 33308 |
| Mail Address: | 5990 NORTH FEDERAL HIGHWAY, FT. LAUDERDALE, FL, 33308 |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467530873 | 2006-11-02 | 2015-03-04 | 3600 W COMMERCIAL BLVD, FORT LAUDERDALE, FL, 333093338, US | 5990 N FEDERAL HWY, FORT LAUDERDALE, FL, 333082633, US | |||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||
| Phone | +1 954-202-7729 |
| Fax | 9542027729 |
| Phone | +1 877-877-9700 |
| Fax | 8778779708 |
Authorized person
| Name | MELANIE KAMBURIAN |
| Role | PARALEGAL |
| Phone | 9542027729 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH22301 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336M0002X - Mail Order Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2007736 |
| Name | Role | Address |
|---|---|---|
| FALOON WILLIAM | Director | 3600 W. COMMERCIAL BLVD, LAUDERDALE, FL, 33309 |
| MURRAY JAMES D | President | 3600 W. COMMERCIAL BLVD., LAUDERDALE, FL, 33309 |
| MURRAY JAMES D | Secretary | 3600 W. COMMERCIAL BLVD., LAUDERDALE, FL, 33309 |
| MURRAY JAMES D | Treasurer | 3600 W. COMMERCIAL BLVD., LAUDERDALE, FL, 33309 |
| CT CORPORATION SYSTEM | Agent | 1200 S PINE ISLAND RD, PLANTATION, FL, 33324 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| WITHDRAWAL | 2020-01-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2012-02-29 | 5990 NORTH FEDERAL HIGHWAY, FT. LAUDERDALE, FL 33308 | - |
| CHANGE OF MAILING ADDRESS | 2012-02-29 | 5990 NORTH FEDERAL HIGHWAY, FT. LAUDERDALE, FL 33308 | - |
| Name | Date |
|---|---|
| Withdrawal | 2020-01-27 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-03-26 |
| ANNUAL REPORT | 2017-04-13 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-01-06 |
| ANNUAL REPORT | 2014-02-19 |
| ANNUAL REPORT | 2013-04-02 |
| ANNUAL REPORT | 2012-02-29 |
| ANNUAL REPORT | 2011-01-07 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
