Entity Name: | TRUST PHARMACY LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 02 Jun 2010 (15 years ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 20 Jul 2011 (14 years ago) |
Document Number: | L10000059010 |
FEI/EIN Number | 27-2765021 |
Address: | 36515 US HIGHWAY 19 N, PALM HARBOR, FL 34684 |
Mail Address: | 36515 US HIGHWAY 19 N, PALM HARBOR, FL 34684 |
ZIP code: | 34684 |
County: | Pinellas |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1801103486 | 2010-09-02 | 2022-11-16 | 36515 US 19 N, PALM HARBOR, FL, 346841340, US | 36515 US HIGHWAY 19 N, PALM HARBOR, FL, 346841340, US | |||||||||||||||||||||||||||||
|
Phone | +1 727-934-7468 |
Phone | +1 727-781-7400 |
Fax | 7277817433 |
Authorized person
Name | MICHAEL SHAKER |
Role | PHARMACY MANAGER |
Phone | 7182233464 |
Taxonomy
Taxonomy Code | 333600000X - Pharmacy |
Is Primary | No |
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
License Number | PH24847 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
Number | 5701570 |
Name | Role | Address |
---|---|---|
SHAKER, MICHAEL | Agent | 3928 ambassador dr, PALM HARBOR, FL 34685 |
Name | Role | Address |
---|---|---|
SHAKER, MICHAEL | Manager | 3928 ambassador dr, PALM HARBOR, FL 34685 |
Name | Role | Address |
---|---|---|
SHAKER, RANIA M | Managing Member | 3928 ambassador dr, PALM HARBOR, FL 34685 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT ADDRESS CHANGED | 2017-01-21 | 3928 ambassador dr, PALM HARBOR, FL 34685 | No data |
LC AMENDMENT | 2011-07-20 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-20 |
ANNUAL REPORT | 2023-01-28 |
ANNUAL REPORT | 2022-03-07 |
ANNUAL REPORT | 2021-04-16 |
ANNUAL REPORT | 2020-05-08 |
ANNUAL REPORT | 2019-03-29 |
ANNUAL REPORT | 2018-01-10 |
ANNUAL REPORT | 2017-01-21 |
AMENDED ANNUAL REPORT | 2016-05-12 |
ANNUAL REPORT | 2016-04-14 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State