Entity Name: | PARAMORE'S PHARMACY, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 27 Nov 1984 (40 years ago) |
Document Number: | H31445 |
FEI/EIN Number | 592478742 |
Address: | Burton L Dunaway, 4314 5TH AVENUE, MARIANNA, FL, 32446, US |
Mail Address: | Burton L Dunaway, 4314 5TH AVENUE, MARIANNA, FL, 32446, US |
ZIP code: | 32446 |
County: | Jackson |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1134782642 | 2019-04-19 | 2019-04-19 | 4314 5TH AVE, MARIANNA, FL, 324462182, US | 4314 5TH AVE, MARIANNA, FL, 324462182, US | |||||||||||||||||||
|
Phone | +1 850-482-3924 |
Authorized person
Name | BURTON LEE DUNAWAY |
Role | OWNER |
Phone | 8504823924 |
Taxonomy
Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 100439500 |
State | FL |
Name | Role | Address |
---|---|---|
Dunaway Burton L | Agent | 4314 5th ave, Marianna, FL, 32446 |
Name | Role | Address |
---|---|---|
Dunaway Burton L | President | 4473 Putnam Street, MARIANNA, FL, 32446 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REINSTATEMENT | 1994-12-22 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 1994-08-26 | No data | No data |
EVENT CONVERTED TO NOTES | 1986-04-30 | No data | No data |
AMENDMENT | 1985-12-23 | No data | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State