| Entity Name: | HARBOUR ISLAND PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 26 Feb 2008 (17 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | L08000020417 |
| FEI/EIN Number | 263663402 |
| Address: | 601 S. HARBOUR ISLAND BLVD., SUITE 105, TAMPA, FL, 33602, US |
| Mail Address: | 601 S. HARBOUR ISLAND BLVD., SUITE 105, TAMPA, FL, 33602, US |
| ZIP code: | 33602 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821238957 | 2009-03-03 | 2009-03-03 | 601 S HARBOUR ISLAND BLVD, TAMPA, FL, 336025735, US | 601 S HARBOUR ISLAND BLVD, TAMPA, FL, 336025735, US | |||||||||||||||||||||||||
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| Phone | +1 813-374-0207 |
Authorized person
| Name | ANTHONY PRIETO |
| Role | OWNER |
| Phone | 8132402314 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1043025 |
| Name | Role | Address |
|---|---|---|
| PRIETO ANTHONY T | Agent | 3705 N HIMES AVE, TAMPA, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| PRIETO ANTHONY T | Managing Member | 601 S. HARBOUR ISLAND BLVD. SUITE 105, TAMPA, FL, 33602 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| LC AMENDMENT | 2008-11-06 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2008-11-06 | PRIETO, ANTHONY T | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-11-06 | 3705 N HIMES AVE, TAMPA, FL 33607 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000168818 | TERMINATED | 1000000255714 | HILLSBOROU | 2012-03-02 | 2022-03-07 | $ 1,338.63 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| J12000168842 | TERMINATED | 1000000255719 | HILLSBOROU | 2012-03-02 | 2032-03-07 | $ 1,935.27 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-01-19 |
| ANNUAL REPORT | 2010-06-10 |
| ANNUAL REPORT | 2009-06-22 |
| LC Amendment | 2008-11-06 |
| Florida Limited Liability | 2008-02-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
