| Entity Name: | COOK DISCOUNT DRUGS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 30 Nov 1982 (42 years ago) |
| Document Number: | G11033 |
| FEI/EIN Number | 59-2245078 |
| Address: | % KEVIN A TAYLOR, 5324 BROWN STREET, GRACEVILLE, FL 32440 |
| Mail Address: | % KEVIN A TAYLOR, 5324 BROWN STREET, GRACEVILLE, FL 32440 |
| ZIP code: | 32440 |
| County: | Jackson |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760575104 | 2006-09-30 | 2024-06-10 | 5324 BROWN ST, GRACEVILLE, FL, 324402238, US | 5324 BROWN ST, GRACEVILLE, FL, 32440, US | |||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 850-263-4110 |
| Fax | 8502633125 |
Authorized person
| Name | KEVIN ALLEN TAYLOR |
| Role | OWNER |
| Phone | 8502634110 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH6634 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 106338100 |
| State | FL |
| Issuer | OTHER ID NUMBER-COMMERCIAL NUMBER |
| Number | 1010735 |
| Name | Role | Address |
|---|---|---|
| TAYLOR, KEVIN A. | Agent | 5324 BROWN ST, GRACEVILLE, FL 32440 |
| Name | Role | Address |
|---|---|---|
| TAYLOR, KEVIN A | President | 5324 BROWN ST, GRACEVILLE, FL 32440 |
| Name | Role | Address |
|---|---|---|
| TAYLOR, KEVIN A | Secretary | 5324 BROWN ST, GRACEVILLE, FL 32440 |
| Name | Role | Address |
|---|---|---|
| TAYLOR, KEVIN A | Treasurer | 5324 BROWN ST, GRACEVILLE, FL 32440 |
| Name | Role | Address |
|---|---|---|
| TAYLOR, KEVIN A | Director | 5324 BROWN ST, GRACEVILLE, FL 32440 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-28 | % KEVIN A TAYLOR, 5324 BROWN STREET, GRACEVILLE, FL 32440 | No data |
| CHANGE OF MAILING ADDRESS | 2020-04-28 | % KEVIN A TAYLOR, 5324 BROWN STREET, GRACEVILLE, FL 32440 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-04-28 | TAYLOR, KEVIN A. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1993-05-01 | 5324 BROWN ST, GRACEVILLE, FL 32440 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-22 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-02-23 |
| ANNUAL REPORT | 2020-04-28 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-22 |
| ANNUAL REPORT | 2015-02-09 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
