| Entity Name: | EXECUTIVE PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 01 Jul 2008 (17 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 16 Jan 2020 (5 years ago) |
| Document Number: | L08000064356 |
| FEI/EIN Number | 26-2910161 |
| Address: | 1951 W. 68 St, Hialeah, FL 33014 |
| Mail Address: | 1951 W. 68 St, Hialeah, FL 33014 |
| ZIP code: | 33014 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | EXECUTIVE PHARMACY LLC, ALABAMA | 000-316-158 | ALABAMA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255582144 | 2008-10-09 | 2016-09-26 | 4300 N UNIVERSITY DR, STE E-200, SUNRISE, FL, 333516249, US | 4300 N UNIVERSITY DR, STE E-200, SUNRISE, FL, 333516249, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 954-368-0901 |
| Fax | 8009184152 |
Authorized person
| Name | LEONARD ARTEAGA |
| Role | MR. |
| Phone | 9543680901 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH23608 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2142644 |
| Name | Role | Address |
|---|---|---|
| ARTEAGA, LEONARD | Agent | 1951 W. 68 St, Hialeah, FL 33014 |
| Name | Role | Address |
|---|---|---|
| ARTEAGA, LEONARD | Manager | 1951 W. 68 St, Hialeah, FL 33014 |
| VERSATEK LLC | Manager | No data |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08184900198 | EXECUTIVE PHARMACY | EXPIRED | 2008-07-02 | 2013-12-31 | No data | 4300 N. UNIVERSITY DRIVE, SUITE E200, FT. LAUDERDALE, FL, 33351 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-29 | 1951 W. 68 St, Hialeah, FL 33014 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-29 | 1951 W. 68 St, Hialeah, FL 33014 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-29 | 1951 W. 68 St, Hialeah, FL 33014 | No data |
| LC AMENDMENT | 2020-01-16 | No data | No data |
| LC AMENDMENT | 2017-01-30 | No data | No data |
| LC AMENDMENT | 2016-12-02 | No data | No data |
| LC AMENDMENT | 2016-09-06 | No data | No data |
| LC AMENDMENT | 2015-03-19 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-05-30 | ARTEAGA, LEONARD | No data |
| LC AMENDMENT | 2014-05-30 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-17 |
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-01-07 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-01-28 |
| LC Amendment | 2020-01-16 |
| ANNUAL REPORT | 2019-01-28 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-02-13 |
Date of last update: 26 Jan 2025
Sources: Florida Department of State
