| Entity Name: | PHYSICIAN CHOICE PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 12 Mar 2010 (15 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L10000027693 |
| FEI/EIN Number | 273186882 |
| Address: | 4529 NORTH PINE ISLAND ROAD, SUNRISE, FL, 33351, US |
| Mail Address: | 4529 NORTH PINE ISLAND ROAD, SUNRISE, FL, 33351, US |
| ZIP code: | 33351 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | PHYSICIAN CHOICE PHARMACY LLC, ALABAMA | 000-050-818 | ALABAMA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639474489 | 2011-01-25 | 2018-07-19 | 4529 N PINE ISLAND RD, SUNRISE, FL, 333515376, US | 4529 N PINE ISLAND RD, SUNRISE, FL, 333515376, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 888-389-2014 |
| Fax | 8882003285 |
Authorized person
| Name | SADDAD HADDAD |
| Role | MANAGER, AO |
| Phone | 8883892014 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336M0002X - Mail Order Pharmacy |
| License Number | PH25249 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 007346800 |
| State | FL |
| Issuer | PK |
| Number | 2134207 |
| Name | Role | Address |
|---|---|---|
| HADDAD SAAD | Agent | 4529 NORTH PINE ISLAND ROAD, SUNRISE, FL, 33351 |
| Name | Role | Address |
|---|---|---|
| HADDAD SAAD | Managing Member | 4529 NORTH PINE ISLAND ROAD, SUNRISE, FL, 33351 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000032615 | PART B SOLUTIONS | EXPIRED | 2016-03-30 | 2021-12-31 | No data | 4529 NORTH PINE ISLAND RD, SUNRISE, FL, 33351 |
| G10000102817 | PHYSICIAN CHOICE PHARMACY | EXPIRED | 2010-11-09 | 2015-12-31 | No data | 1326 NORTH STATE ROAD 7, MARGATE, FL, 33063 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| LC AMENDMENT | 2018-04-10 | No data | No data |
| LC AMENDMENT | 2017-07-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-07-24 | HADDAD, SAAD | No data |
| LC AMENDMENT | 2012-03-13 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-03-01 | 4529 NORTH PINE ISLAND ROAD, SUNRISE, FL 33351 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-03-01 | 4529 NORTH PINE ISLAND ROAD, SUNRISE, FL 33351 | No data |
| CHANGE OF MAILING ADDRESS | 2012-03-01 | 4529 NORTH PINE ISLAND ROAD, SUNRISE, FL 33351 | No data |
| LC AMENDMENT AND NAME CHANGE | 2012-03-01 | PHYSICIAN CHOICE PHARMACY LLC | No data |
| Name | Date |
|---|---|
| LC Amendment | 2018-04-10 |
| ANNUAL REPORT | 2018-02-28 |
| LC Amendment | 2017-07-24 |
| ANNUAL REPORT | 2017-03-30 |
| ANNUAL REPORT | 2016-01-13 |
| ANNUAL REPORT | 2015-01-12 |
| ANNUAL REPORT | 2014-02-24 |
| ANNUAL REPORT | 2013-02-05 |
| ANNUAL REPORT | 2012-04-27 |
| LC Amendment | 2012-03-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
