| Entity Name: | CAMEO PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 14 Oct 2009 (15 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | L09000099528 |
| FEI/EIN Number | 271161914 |
| Address: | 1326 SOUTH PINE UNIT 202, OCALA, FL, 34471 |
| Mail Address: | 1326 SOUTH PINE UNIT 202, OCALA, FL, 34471 |
| ZIP code: | 34471 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851618987 | 2010-04-29 | 2010-07-14 | 1326 S PINE AVE, # 202, OCALA, FL, 344716542, US | 1326 S PINE AVE, # 202, OCALA, FL, 344716542, US | |||||||||||||||||||||||
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| Phone | +1 352-433-2990 |
| Fax | 3524332993 |
Authorized person
| Name | JOHN COSTA |
| Role | PRESIDENT |
| Phone | 3525725562 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH24601 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5700326 |
| Name | Role | Address |
|---|---|---|
| COSTA JOHN A | Agent | 1326 SOUTH PINE UNIT 202, OCALA, FL, 34471 |
| Name | Role | Address |
|---|---|---|
| COSTA JOHN A | President | 1326 SOUTH PINE UNIT 202, OCALA, FL, 34471 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-01-29 |
| ANNUAL REPORT | 2012-03-08 |
| ANNUAL REPORT | 2011-04-01 |
| ANNUAL REPORT | 2010-04-30 |
| Florida Limited Liability | 2009-10-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
