| Entity Name: | PRIME PHARMACY SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 08 Mar 2007 (18 years ago) |
| Date of dissolution: | 28 Dec 2021 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 28 Dec 2021 (3 years ago) |
| Document Number: | L07000025707 |
| FEI/EIN Number | 208587099 |
| Address: | 32 SE 2nd Ave, Unit 412, Delray Beach, FL, 33444, US |
| Mail Address: | 32 SE 2nd Ave, Unit 412, Delray Beach, FL, 33444, US |
| ZIP code: | 33444 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699023655 | 2012-08-24 | 2012-08-24 | 2427 PORTER LAKE DR, SUITE 109, SARASOTA, FL, 342408853, US | 2427 PORTER LAKE DR, SUITE 109, SARASOTA, FL, 342408853, US | |||||||||||||||||||||||
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| Phone | +1 941-378-2607 |
Authorized person
| Name | MARK ERBLAT |
| Role | PRESIDENT |
| Phone | 5618668060 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PH24204 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 032079000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ERBLAT MARK | Agent | 32 SE 2nd Ave, Delray Beach, FL, 33444 |
| Name | Role | Address |
|---|---|---|
| ERBLAT MARK | Manager | 32 SE 2nd Ave, Delray Beach, FL, 33444 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-12-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-24 | 32 SE 2nd Ave, Unit 412, Delray Beach, FL 33444 | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-24 | 32 SE 2nd Ave, Unit 412, Delray Beach, FL 33444 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-24 | 32 SE 2nd Ave, Unit 412, Delray Beach, FL 33444 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13000875923 | TERMINATED | 1000000499498 | SARASOTA | 2013-04-24 | 2023-05-03 | $ 2,223.75 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, SARASOTA SERVICE CENTER, 1991 MAIN ST STE 240, SARASOTA FL342365940 |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-12-28 |
| ANNUAL REPORT | 2021-01-17 |
| ANNUAL REPORT | 2020-01-18 |
| ANNUAL REPORT | 2019-05-22 |
| ANNUAL REPORT | 2018-03-24 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-01-26 |
| ANNUAL REPORT | 2015-03-26 |
| ANNUAL REPORT | 2014-01-08 |
| ANNUAL REPORT | 2013-02-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
