| Entity Name: | LAGE PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
LAGE PHARMACY, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| 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: | 16 Feb 1984 (41 years ago) |
| Date of dissolution: | 27 Sep 2013 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (12 years ago) |
| Document Number: | G98549 |
| FEI/EIN Number |
592422575
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3485 WEST FLAGLER STREET, SUITE 200, MIAMI, FL, 33135 |
| Mail Address: | 3485 WEST FLAGLER STREET, SUITE 200, MIAMI, FL, 33135 |
| ZIP code: | 33135 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770665564 | 2006-10-20 | 2011-03-29 | 3485 W FLAGLER ST STE 200, MIAMI, FL, 331351042, US | 3485 W FLAGLER ST STE 200, MIAMI, FL, 331351042, US | |||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 305-649-3333 |
| Fax | 3056495722 |
Authorized person
| Name | MARIA MUSTAFA |
| Role | PRESIDENT |
| Phone | 3056493333 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH8887 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 025545900 |
| State | FL |
| Issuer | MEDICAID |
| Number | 025545901 |
| State | FL |
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1037022 |
| Name | Role | Address |
|---|---|---|
| MUSTAFA MARIA E | President | 3485 W. FLAGLER ST. SUITE 200, MIAMI, FL, 33135 |
| MUSTAFA MARIA E | Vice President | 3485 W. FLAGLER ST. SUITE 200, MIAMI, FL, 33135 |
| MUSTAFA MARIA E | Secretary | 3485 W. FLAGLER ST. SUITE 200, MIAMI, FL, 33135 |
| MUSTAFA MARIA E | Treasurer | 3485 W. FLAGLER ST. SUITE 200, MIAMI, FL, 33135 |
| MUSTAFA MARIA E | Director | 3485 W. FLAGER ST., SUITE 200, MIAMI, FL, 33135 |
| MUSTAFA MARIA E | Agent | 3485 W. FLAGLER ST., MIAMI, FL, 33135 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | - | - |
| REGISTERED AGENT NAME CHANGED | 2010-04-28 | MUSTAFA, MARIA E | - |
| REGISTERED AGENT ADDRESS CHANGED | 2003-04-02 | 3485 W. FLAGLER ST., SUITE 200, MIAMI, FL 33135 | - |
| AMENDMENT | 2002-07-01 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2002-05-22 | 3485 WEST FLAGLER STREET, SUITE 200, MIAMI, FL 33135 | - |
| CHANGE OF MAILING ADDRESS | 2002-05-22 | 3485 WEST FLAGLER STREET, SUITE 200, MIAMI, FL 33135 | - |
| AMENDMENT | 2002-02-01 | - | - |
| AMENDMENT | 2001-08-13 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J07000341803 | LAPSED | 07-21351-CA-32 | MIAMI-DADE COUNTY CIRCUIT CT | 2007-09-25 | 2012-10-19 | $23,920.94 | MCKESSON AUTOMATION SYSTEMS, INC., C/O GLENETTE BABB - 1 POST STREET, 33RD FLOOR, SAN FRANCISCO, CA 94104 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-05-01 |
| ANNUAL REPORT | 2011-04-19 |
| ANNUAL REPORT | 2010-04-28 |
| ANNUAL REPORT | 2009-04-17 |
| ANNUAL REPORT | 2008-04-28 |
| ANNUAL REPORT | 2007-04-21 |
| ANNUAL REPORT | 2006-04-17 |
| ANNUAL REPORT | 2005-04-29 |
| ANNUAL REPORT | 2004-01-07 |
| ANNUAL REPORT | 2003-04-02 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
