| Entity Name: | FERTILITY PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 13 May 2008 (17 years ago) |
| Date of dissolution: | 17 Nov 2011 (13 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 17 Nov 2011 (13 years ago) |
| Document Number: | L08000047672 |
| FEI/EIN Number | 262602097 |
| Address: | 5931 BRICK COURT, SUITE 150, WINTER PARK, FL, 32792 |
| Mail Address: | 5931 BRICK COURT, SUITE 150, WINTER PARK, FL, 32792 |
| ZIP code: | 32792 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265699946 | 2008-05-20 | 2015-01-02 | 120 W STATE ROAD 434, WINTER SPRINGS, FL, 327082551, US | 120 W STATE ROAD 434, WINTER SPRINGS, FL, 327082551, US | |||||||||||||||||||||||||
|
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| Phone | +1 407-557-2029 |
| Fax | 4802475681 |
Authorized person
| Name | LARRY B. HOWARD |
| Role | MANAGER |
| Phone | 4075572029 |
Taxonomy
| Taxonomy Code | 183500000X - Pharmacist |
| License Number | PH23353 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 008795700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HOWARD LARRY B | Agent | 5931 BRICK COURT, WINTER PARK, FL, 32792 |
| Name | Role |
|---|---|
| LBG HOLDINGS, LLC | Managing Member |
| Name | Role |
|---|---|
| TROLICE PHARMACY, LLC | Manager |
| Name | Role |
|---|---|
| TROLICE PHARMACY, LLC | Director |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2011-11-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-01-26 | 5931 BRICK COURT, SUITE 150, WINTER PARK, FL 32792 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-01-26 | 5931 BRICK COURT, SUITE 150, WINTER PARK, FL 32792 | No data |
| CHANGE OF MAILING ADDRESS | 2009-01-26 | 5931 BRICK COURT, SUITE 150, WINTER PARK, FL 32792 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-01-26 | HOWARD, LARRY B | No data |
| LC AMENDMENT | 2008-06-16 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2011-11-17 |
| ANNUAL REPORT | 2010-04-23 |
| ANNUAL REPORT | 2009-01-26 |
| LC Amendment | 2008-06-16 |
| Florida Limited Liability | 2008-05-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
