| Entity Name: | BUCKHORN PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 05 Dec 2006 (18 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | L06000115936 |
| FEI/EIN Number | 300393056 |
| Mail Address: | 43 GREENLIN VILLA ROAD, CRAWFORDVILLE, FL, 32327 |
| Address: | 1085 SOPCHOPPY HWY, SUITE 1-A, SOPCHOPPY, FL, 32358 |
| ZIP code: | 32358 |
| County: | Wakulla |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801062427 | 2008-05-03 | 2009-02-27 | 1085 SOPCHOPPY HWY, STE 1A, SOPCHOPPY, FL, 323581016, US | 1085 SOPCHOPPY HWY, STE 1A, SOPCHOPPY, FL, 323581016, US | |||||||||||||||||||||||
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| Phone | +1 850-962-2166 |
| Fax | 8508773497 |
Authorized person
| Name | WILLIAMS BARNHART |
| Role | OWNER |
| Phone | 5612720015 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH23576 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1039230 |
| Name | Role | Address |
|---|---|---|
| FRANKLIN HELEN | Agent | 43 GREENLIN VILLA ROAD, CRAWFORDVILLE, FL, 32327 |
| Name | Role | Address |
|---|---|---|
| FRANKLIN HELEN | Manager | 43 GREENLIN VILLA RD., CRAWFORDVILLE, FL, 32327 |
| Name | Role | Address |
|---|---|---|
| BARNHART TAWANA | Managing Member | 10690 VERSAILLES BLVD., WELLINGTON, FL, 33449 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08164700039 | BUCKHORN PHARMACY LLC | EXPIRED | 2008-06-12 | 2013-12-31 | No data | 43 GREENLIN VILLA ROAD, CRAWFORDVILLE, FL, 32327 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-03-12 | 1085 SOPCHOPPY HWY, SUITE 1-A, SOPCHOPPY, FL 32358 | No data |
| LC AMENDMENT | 2008-12-29 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2008-12-29 | FRANKLIN, HELEN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-12-29 | 43 GREENLIN VILLA ROAD, CRAWFORDVILLE, FL 32327 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-02-08 |
| ANNUAL REPORT | 2009-03-12 |
| LC Amendment | 2008-12-29 |
| ANNUAL REPORT | 2008-10-15 |
| ANNUAL REPORT | 2008-06-25 |
| ANNUAL REPORT | 2008-04-16 |
| ANNUAL REPORT | 2007-04-27 |
| Florida Limited Liability | 2006-12-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
