| Entity Name: | LIVE WELL DRUGSTORE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 29 Jun 2007 (18 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 30 Aug 2017 (7 years ago) |
| Document Number: | L07000068456 |
| FEI/EIN Number | 26-0445683 |
| Address: | 3516 ENTERPRISE WAY, SUITE 7, GREEN COVE SPRINGS, FL 32043 |
| Mail Address: | 3516 ENTERPRISE WAY, SUITE 7, GREEN COVE SPRINGS, FL 32043 |
| ZIP code: | 32043 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578736344 | 2008-04-11 | 2016-02-05 | 3516 ENTERPRISE WAY, STE 7 AND 8, GREEN COVE SPRINGS, FL, 320439319, US | 3516 ENTERPRISE WAY, STE 7 AND 8, GREEN COVE SPRINGS, FL, 320439319, US | |||||||||||||||||||||||||||
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| Phone | +1 904-531-3030 |
| Fax | 9045313060 |
Authorized person
| Name | MICHAEL TURNER |
| Role | PHCY MANG |
| Phone | 9045313030 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH23293 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2011342 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LIVE WELL DRUGSTORE LLC 401 K PROFIT SHARING PLAN TRUST | 2018 | 260445683 | 2019-07-31 | LIVE WELL DRUGSTORE LLC | 11 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2019-07-31 |
| Name of individual signing | AMY SMITHERS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2016-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 9042343943 |
| Plan sponsor’s address | 3516 ENTERPRISE WAY, SUITE 7, GREEN COVE SPRINGS, FL, 32043 |
Signature of
| Role | Plan administrator |
| Date | 2018-07-30 |
| Name of individual signing | AMY SMITHERS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2016-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 9045313030 |
| Plan sponsor’s address | 3516 ENTERPRISE WAY, SUITE 7, GREEN COVE SPRINGS, FL, 32043 |
Signature of
| Role | Plan administrator |
| Date | 2017-06-26 |
| Name of individual signing | AMY SMITHERS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BERNARD, GARY CHARLES | Agent | 3516 Enterprise Way, Suite 7, Green Cove Springs, FL 32043 |
| Name | Role |
|---|---|
| BRICK & MORTAR, INC. | Manager |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000136748 | TRULIFE PHARMACY | ACTIVE | 2018-12-28 | 2028-12-31 | No data | 3516 ENTERPRISE WAY, SUITE 7, GREEN COVE SPRINGS, FL, 32043 |
| G16000006877 | BIOWORX | EXPIRED | 2016-01-19 | 2021-12-31 | No data | 3516 ENTERPRISE WAY, SUITE 7, GREEN COVE SPRINGS, FL, 32043 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-06-15 | BERNARD, GARY CHARLES | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-26 | 3516 ENTERPRISE WAY, SUITE 7, GREEN COVE SPRINGS, FL 32043 | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-26 | 3516 ENTERPRISE WAY, SUITE 7, GREEN COVE SPRINGS, FL 32043 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-26 | 3516 Enterprise Way, Suite 7, Green Cove Springs, FL 32043 | No data |
| LC AMENDMENT | 2017-08-30 | No data | No data |
| LC AMENDMENT | 2017-03-28 | No data | No data |
| LC AMENDMENT | 2016-04-11 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-04-04 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-06-15 |
| ANNUAL REPORT | 2019-02-26 |
| ANNUAL REPORT | 2018-04-30 |
| LC Amendment | 2017-08-30 |
| LC Amendment | 2017-03-28 |
| ANNUAL REPORT | 2017-01-10 |
Date of last update: 27 Jan 2025
Sources: Florida Department of State
