| Entity Name: | EDWARDS PHARMACY OF INDIAN ROCKS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 11 Sep 2008 (16 years ago) |
| Date of dissolution: | 19 Aug 2024 (6 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 19 Aug 2024 (6 months ago) |
| Document Number: | L08000086759 |
| FEI/EIN Number | 263341219 |
| Mail Address: | 5908 Breckenridge Pkwy, Tampa, FL, 33610, US |
| Address: | 12071 INDIAN ROCKS ROAD, LARGO, FL, 33774 |
| ZIP code: | 33774 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063651537 | 2009-02-06 | 2019-09-05 | 5908 BRECKENRIDGE PARKWAY, TAMPA, FL, 33610, US | 12071 INDIAN ROCKS RD, LARGO, FL, 337743216, US | |||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 813-304-2221 |
| Fax | 8882398423 |
| Phone | +1 727-724-4171 |
| Fax | 7272166259 |
Authorized person
| Name | ALPESH PATEL |
| Role | PHARMACY OWNER |
| Phone | 8133042221 |
Taxonomy
| Taxonomy Code | 163WD0400X - Diabetes Educator Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH24985 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2119240 |
| Issuer | MEDICAID |
| Number | 002712500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PATEL ALPESH M | Agent | 5908 Breckenridge Pkwy, Tampa, FL, 33610 |
| Name | Role |
|---|---|
| BENZER PHARMACY HOLDING LLC | Auth |
| Name | Role | Address |
|---|---|---|
| Patel Alpesh | Manager | 5908 Breckenridge Pkwy, Tampa, FL, 33610 |
| Patel Manish | Manager | 5908 Breckenridge Pkwy, Tampa, FL, 33610 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000008863 | BENZER PHARMACY | ACTIVE | 2020-01-20 | 2025-12-31 | No data | 5908 BRECKENRIDGE PARKWAY, TAMPA, FL, 33610 |
| G15000124850 | BENZER PHARMACY 124 | EXPIRED | 2015-12-10 | 2020-12-31 | No data | 2812 MLK BLVD, TAMPA, FL, 33607 |
| G14000126160 | BENZER PHARMACY | EXPIRED | 2014-12-15 | 2019-12-31 | No data | 2812 W. MLK JR. BLVD, TAMPA, FL, 33607 |
| G12000120859 | RX CARE PHARMACY | EXPIRED | 2012-12-06 | 2017-12-31 | No data | 12071 INDIAN ROCK RD, LARGO, FL, 33744 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-08-19 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2017-03-21 | 12071 INDIAN ROCKS ROAD, LARGO, FL 33774 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-21 | 5908 Breckenridge Pkwy, Tampa, FL 33610 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-04-29 | PATEL, ALPESH M | No data |
| LC AMENDMENT AND NAME CHANGE | 2008-10-06 | EDWARDS PHARMACY OF INDIAN ROCKS LLC | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-08-19 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-03-18 |
| ANNUAL REPORT | 2018-04-14 |
| ANNUAL REPORT | 2017-03-21 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-30 |
| ANNUAL REPORT | 2014-04-16 |
| ANNUAL REPORT | 2013-04-11 |
| ANNUAL REPORT | 2012-04-26 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
