| Entity Name: | ANNALICE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 13 Jan 2009 (16 years ago) |
| Date of dissolution: | 08 Jun 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 08 Jun 2020 (5 years ago) |
| Document Number: | L09000004118 |
| FEI/EIN Number | 800340520 |
| Address: | 5855 54TH AVE, KENNETH CITY, FL, 33709, US |
| Mail Address: | 5853 54th Ave N, Kenneth City, FL, 33709, US |
| ZIP code: | 33709 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629398003 | 2010-06-08 | 2010-10-28 | 6506 EMBASSY BLVD, PORT RICHEY, FL, 346684734, US | 6506 EMBASSY BLVD, PORT RICHEY, FL, 346684734, US | |||||||||||||||||||||||||||
|
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| Phone | +1 727-848-9400 |
| Fax | 7278489401 |
Authorized person
| Name | NELSON OHIHOIN |
| Role | PRESIDENT |
| Phone | 7275341318 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH24598 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5700807 |
| Name | Role | Address |
|---|---|---|
| SCOTT DOREEN M | Agent | 2107 HAMMOCK PARK CT, TRINITY, FL, 34655 |
| Name | Role | Address |
|---|---|---|
| SCOTT DOREEN M | President | 2107 HAMMOCK PARK CT, TRINITY, FL, 34655 |
| Name | Role | Address |
|---|---|---|
| REID ELAINE | Authorized Member | 2107 HAMMOCK PARK CT, TRINITY, FL, 34655 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000030911 | CROSSPLUS PHARMACY | EXPIRED | 2019-03-06 | 2024-12-31 | No data | 5855 54TH AVE N., KENNETH CITY, FL, 33709 |
| G13000069550 | PRX PHARMACY | EXPIRED | 2013-07-11 | 2018-12-31 | No data | 2107 HAMMOCK PARK CT, TRINTY, FL, 34655 |
| G10000031972 | PEGASUS RX PHARMACY | EXPIRED | 2010-04-09 | 2015-12-31 | No data | 2107 HAMMOCK PARK CT, TRINITY, FL, 34655 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-06-08 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-08-19 | 5855 54TH AVE, KENNETH CITY, FL 33709 | No data |
| CHANGE OF MAILING ADDRESS | 2019-03-25 | 5855 54TH AVE, KENNETH CITY, FL 33709 | No data |
| LC AMENDMENT | 2018-08-16 | No data | No data |
| LC AMENDMENT | 2018-01-22 | No data | No data |
| LC DISSOCIATION MEM | 2017-06-21 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2011-12-21 | SCOTT, DOREEN M | No data |
| LC AMENDMENT | 2011-12-21 | No data | No data |
| LC AMENDMENT | 2010-02-19 | No data | No data |
| LC AMENDMENT | 2010-02-10 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-06-08 |
| ANNUAL REPORT | 2019-03-25 |
| LC Amendment | 2018-08-16 |
| ANNUAL REPORT | 2018-04-27 |
| LC Amendment | 2018-01-22 |
| CORLCDSMEM | 2017-06-21 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-06-18 |
| ANNUAL REPORT | 2014-04-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
