| Entity Name: | INNOVATIVERX GULF COAST PHARMACY INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Inactive |
| Date Filed: | 21 Jun 2012 (13 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | F12000002644 |
| FEI/EIN Number | 45-5571650 |
| Address: | 1035 Collier Center Way, Naples, FL, 34110, US |
| Mail Address: | 8222 118th Avenue N, Largo, FL, 33773, US |
| ZIP code: | 34110 |
| County: | Collier |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821330150 | 2013-03-25 | 2013-03-25 | 1035 COLLIER CENTER WAY, SUITE 2, NAPLES, FL, 341108474, US | 1035 COLLIER CENTER WAY STE 2, NAPLES, FL, 341108474, US | |||||||||||||||||||||
|
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| Phone | +1 239-324-9619 |
Authorized person
| Name | ALICIA GAZDA |
| Role | DIRECTOR OF PHARMACY |
| Phone | 2393249619 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH26491 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5713892 |
| Name | Role |
|---|---|
| ADVANCED RX HOLDINGS, INC | Agent |
| Name | Role | Address |
|---|---|---|
| MacNeal David LII | President | 12456 Cumberland Drive, Largo, FL, 33773 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2015-07-08 | 1035 Collier Center Way, Suite No 2, Naples, FL 34110 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-07-08 | 8222 118th Avenue N, Suite 605, Largo, FL 33773 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-07-29 | Advanced Rx Holdings Inc. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-07-23 | 1035 Collier Center Way, Suite No 2, Naples, FL 34110 | No data |
| AMENDMENT | 2013-03-14 | No data | AFFIDAVIT TO CHG OFFICER/DIRECTORS |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-07-08 |
| AMENDED ANNUAL REPORT | 2014-07-29 |
| AMENDED ANNUAL REPORT | 2014-07-23 |
| AMENDED ANNUAL REPORT | 2014-07-22 |
| ANNUAL REPORT | 2014-04-22 |
| ANNUAL REPORT | 2013-04-23 |
| Foreign Profit | 2012-06-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
