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LIFE EXTENSION PHARMACY, INC. - Florida Company Profile

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Company Details

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

Key Officers & Management

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

National Provider Identifier

NPI Number:
1467530873

Authorized Person:

Name:
MELANIE KAMBURIAN
Role:
PARALEGAL
Phone:

Taxonomy:

Selected Taxonomy:
3336M0002X - Mail Order Pharmacy
Is Primary:
No
Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
No
Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Fax:
9542027729
Fax:
8778779708

Events

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 -

Documents

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

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Date of last update: 03 Jun 2025

Sources: Florida Department of State