| Entity Name: | EXPRESS APOTHECARY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 05 Apr 2005 (20 years ago) |
| Date of dissolution: | 29 May 2008 (17 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 29 May 2008 (17 years ago) |
| Document Number: | L05000033183 |
| FEI/EIN Number | 593807487 |
| Address: | 325 WEST OAK STREET, KISSIMMEE, FL, 34741-4421 |
| Mail Address: | 325 WEST OAK STREET, KISSIMMEE, FL, 34741-4421 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326182023 | 2007-02-16 | 2020-08-22 | 325 OAK WEST ST, KISSIMMEE, FL, 34741, US | 325 OAK WEST ST, KISSIMMEE, FL, 34741, US | |||||||||||||||||||||||||||||||||||
|
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| Phone | +1 407-932-0033 |
| Fax | 4079320083 |
Authorized person
| Name | KEVIN PRUITT |
| Role | MANAGER |
| Phone | 4079028607 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH21586 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | OTHER ID NUMBER-COMMERCIAL NUMBER |
| Number | 1015266 |
| Name | Role | Address |
|---|---|---|
| PRUITT KECIN | Agent | 325 W. OAK ST., KISSIMMEE, FL, 34741 |
| Name | Role | Address |
|---|---|---|
| PRUITT KEVIN | Managing Member | 325 WEST OAK ST., ORLANDO, FL, 32836 |
| BLANCO EFREN | Managing Member | 325 WEST OAK ST., DAVENPORT, FL, 33837 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2008-05-29 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2006-01-30 | PRUITT, KECIN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-01-30 | 325 W. OAK ST., KISSIMMEE, FL 34741 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-07-22 | 325 WEST OAK STREET, KISSIMMEE, FL 34741-4421 | No data |
| CHANGE OF MAILING ADDRESS | 2005-07-22 | 325 WEST OAK STREET, KISSIMMEE, FL 34741-4421 | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2008-05-29 |
| ANNUAL REPORT | 2007-06-01 |
| ANNUAL REPORT | 2006-01-30 |
| Florida Limited Liability | 2005-04-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
