| Entity Name: | CYPRESS PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 17 Apr 1984 (41 years ago) |
| Document Number: | G96547 |
| FEI/EIN Number | 592424113 |
| Address: | 9451 CYPRESS LAKE DRIVE, FT. MYERS, FL, 33919, US |
| Mail Address: | 9451 CYPRESS LAKE DRIVE, FT. MYERS, FL, 33919, US |
| ZIP code: | 33919 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871322453 | 2024-07-31 | 2024-07-31 | 9451 CYPRESS LAKE DR, FORT MYERS, FL, 339194909, US | 1700 PERIWINKLE WAY STE 7, SANIBEL, FL, 339574334, US | |||||||||||||||||||
|
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| Phone | +1 239-481-7322 |
| Fax | 2394810151 |
Authorized person
| Name | JUSTIN RYAN CERAVOLO |
| Role | OWNER |
| Phone | 2394817322 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Ceravolo Justin | Agent | 9451 CYPRESS LAKE DRIVE, FT. MYERS, FL, 33919 |
| Name | Role | Address |
|---|---|---|
| Ceravolo Justin | President | 9451 CYPRESS LAKE DRIVE, FT. MYERS, FL, 33919 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000087765 | CYPRESS WELLNESS PHARMACY | ACTIVE | 2024-07-23 | 2029-12-31 | No data | 9451 CYPRESS LAKE DRIVE, FORT MYERS, FL, 33919 |
| G24000070291 | ISLAND WELLNESS PHARMACY | ACTIVE | 2024-06-05 | 2029-12-31 | No data | 1700 PERIWINKLE WAY UNIT 7, SANIBEL, FL, 33957 |
| G13000075866 | CYPRESS PHARMACY | EXPIRED | 2013-07-30 | 2018-12-31 | No data | 9371 CYPRESS LAKE DRIVE, FORT MYERS, FL, 33919 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
