| Entity Name: | BEACHES PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 29 Sep 2010 (14 years ago) |
| Date of dissolution: | 21 Jul 2016 (9 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 21 Jul 2016 (9 years ago) |
| Document Number: | L10000101943 |
| FEI/EIN Number | 273572371 |
| Address: | 4717 SAN JUAN AVENUE, JACKSONVILLE, FL, 32210 |
| Mail Address: | 4717 SAN JUAN AVENUE, JACKSONVILLE, FL, 32210 |
| ZIP code: | 32210 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | BEACHES PHARMACY, LLC, MISSISSIPPI | 1021505 | MISSISSIPPI |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730498288 | 2010-10-01 | 2010-10-01 | 4320 DEERWOOD LAKE PKWY STE 101-211, JACKSONVILLE, FL, 322161177, US | 4717 SAN JUAN AVE UNIT 1, JACKSONVILLE, FL, 322103229, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 850-545-7646 |
Authorized person
| Name | SAMUEL MAYO |
| Role | PHARMACIST |
| Phone | 8505457646 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PS43165 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| mayo samuel m | Agent | 4717 San Juan Ave, jacksonville, FL, 32210 |
| Name | Role | Address |
|---|---|---|
| MAYO SAMUEL MASON | Managing Member | 4320 DEERWOOD LAKE PARKWAY, SUITE 101-211, JACKSONVILLE, FL, 32216 |
| GAYNOR BRIAN PATRICK | Managing Member | 4320 DEERWOOD LAKE PARKWAY, SUITE 101-211, JACKSONVILLE, FL, 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2016-07-21 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-04-18 | mayo, samuel m | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-18 | 4717 San Juan Ave, jacksonville, FL 32210 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-02-23 | 4717 SAN JUAN AVENUE, JACKSONVILLE, FL 32210 | No data |
| CHANGE OF MAILING ADDRESS | 2011-02-23 | 4717 SAN JUAN AVENUE, JACKSONVILLE, FL 32210 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2016-07-21 |
| ANNUAL REPORT | 2016-03-01 |
| ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2014-04-18 |
| ANNUAL REPORT | 2013-01-24 |
| ANNUAL REPORT | 2012-02-10 |
| ANNUAL REPORT | 2011-02-23 |
| Florida Limited Liability | 2010-09-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
