| Entity Name: | E & T PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 08 Dec 2005 (19 years ago) |
| Date of dissolution: | 13 Dec 2012 (12 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 13 Dec 2012 (12 years ago) |
| Document Number: | L05000119008 |
| FEI/EIN Number | 141947818 |
| Mail Address: | 740 BOCCE COURT, PALM BEACH GARDENS, FL, 33410 |
| Address: | 3111 45TH STREET, SUITE 3, WEST PALM BEACH, FL, 33407 |
| ZIP code: | 33407 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932298619 | 2006-10-12 | 2016-06-20 | 3111 45TH ST STE 3, WEST PALM BEACH, FL, 334071981, US | 3111 45TH ST STE 3, WEST PALM BEACH, FL, 334071981, US | |||||||||||||||||||||||||||||||
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| Phone | +1 561-683-1095 |
| Fax | 5616830591 |
Authorized person
| Name | EPHREM DEGEFU |
| Role | PHCY MANAGER |
| Phone | 5616831095 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| License Number | PH22257 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2007665 |
| Name | Role | Address |
|---|---|---|
| DEGEFU EPHREM | Agent | 740 BOCCE COURT, PALM BEACH GARDENS, FL, 33410 |
| Name | Role | Address |
|---|---|---|
| DEGEFU EPHREM | Manager | 740 BOCCE COURT, PALM BEACH GARDENS, FL, 33410 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2012-12-13 | No data | CONVERSION MEMBER. RESULTING CORPORATION WAS P13000000178. CONVERSION NUMBER 700000128167 |
| CHANGE OF PRINCIPAL ADDRESS | 2010-03-16 | 3111 45TH STREET, SUITE 3, WEST PALM BEACH, FL 33407 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-22 |
| ANNUAL REPORT | 2011-04-21 |
| ANNUAL REPORT | 2010-03-16 |
| ANNUAL REPORT | 2009-04-30 |
| ANNUAL REPORT | 2008-04-28 |
| ANNUAL REPORT | 2007-04-10 |
| ANNUAL REPORT | 2006-05-31 |
| Florida Limited Liability | 2005-12-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
