| Entity Name: | LIDDY'S PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 01 Aug 2003 (22 years ago) |
| Date of dissolution: | 16 Jan 2018 (7 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 16 Jan 2018 (7 years ago) |
| Document Number: | L03000028389 |
| FEI/EIN Number | 14-1891650 |
| Address: | 7625 A1A South, St. Augustine, FL 32080 |
| Mail Address: | PO Box 840121, St. Augustine, FL 32080 |
| ZIP code: | 32080 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073547287 | 2006-07-11 | 2013-01-22 | 4204 S FLORIDA AVE STE E, LAKELAND, FL, 338131669, US | 4204 S FLORIDA AVE STE E, LAKELAND, FL, 338131669, US | |||||||||||||||||||||||||
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| Phone | +1 863-647-9899 |
| Fax | 8637090030 |
Authorized person
| Name | MRS. MELINDA LIDDY |
| Role | OWNER |
| Phone | 8636479899 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH19502 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP |
| Number | 1012171 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LIDDY, MELINDA C | Agent | 7625 A1A South, St. Augustine, FL 32080 |
| Name | Role | Address |
|---|---|---|
| LIDDY, MELINDA C | Manager | PO Box 840121, St. Augustine, FL 32080 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2018-01-16 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-01-06 | 7625 A1A South, St. Augustine, FL 32080 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-01-06 | 7625 A1A South, St. Augustine, FL 32080 | No data |
| CHANGE OF MAILING ADDRESS | 2016-01-06 | 7625 A1A South, St. Augustine, FL 32080 | No data |
| LC AMENDMENT | 2010-05-17 | No data | No data |
| LC NAME CHANGE | 2008-05-01 | LIDDY'S PHARMACY, LLC | No data |
| REGISTERED AGENT NAME CHANGED | 2006-01-03 | LIDDY, MELINDA C | No data |
| AMENDMENT | 2005-12-29 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-01-08 |
| ANNUAL REPORT | 2016-01-06 |
| ANNUAL REPORT | 2015-01-12 |
| ANNUAL REPORT | 2014-01-08 |
| ANNUAL REPORT | 2013-01-09 |
| ANNUAL REPORT | 2012-01-06 |
| ANNUAL REPORT | 2011-01-03 |
| LC Amendment | 2010-05-17 |
| ANNUAL REPORT | 2010-01-14 |
| ANNUAL REPORT | 2009-01-15 |
Date of last update: 30 Jan 2025
Sources: Florida Department of State
