| Entity Name: | SHARED PHARMACY SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 28 Dec 2004 (20 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | L04000093825 |
| FEI/EIN Number | 331107739 |
| Address: | 2426 VISCOUNT ROW, ORLANDO, FL, 32809, US |
| Mail Address: | 264 VISTA OAK DRIVE, LONGWOOD, FL, 32779, US |
| ZIP code: | 32809 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033278130 | 2006-12-06 | 2011-02-22 | 6149 CHANCELLOR DR, SUITE 2780, ORLANDO, FL, 328095680, US | 6149 CHANCELLOR DR, SUITE 2780, ORLANDO, FL, 328095680, US | |||||||||||||||||||||||||||
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| Phone | +1 407-251-5492 |
| Fax | 4072515392 |
Authorized person
| Name | HAVEN PERKINS |
| Role | PRESIDENT |
| Phone | 4072515492 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PH22367 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1002500 |
| Name | Role | Address |
|---|---|---|
| PERKINS HAVEN M | Agent | 264 VISTA OAK DRIVE, LONGWOOD, FL, 32779 |
| Name | Role | Address |
|---|---|---|
| PERKINS HAVEN M | Manager | 264 VISTA OAK DRIVE, LONGWOOD, FL, 32779 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2006-04-14 | PERKINS, HAVEN M | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-25 |
| ANNUAL REPORT | 2010-02-16 |
| ANNUAL REPORT | 2009-04-04 |
| ANNUAL REPORT | 2008-03-02 |
| ANNUAL REPORT | 2007-07-02 |
| ANNUAL REPORT | 2006-04-14 |
| ANNUAL REPORT | 2005-06-29 |
| Florida Limited Liability | 2004-12-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
