| Entity Name: | WELLS PHARMACY NETWORK, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Dec 2010 (14 years ago) |
| Document Number: | L10000128350 |
| FEI/EIN Number | 274947247 |
| Address: | 3420 Fairlane Farms Road, Suite 300, WELLINGTON, FL, 33414, US |
| Mail Address: | 3420 Fairlane Farms Road, Suite 300, WELLINGTON, FL, 33414, US |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | WELLS PHARMACY NETWORK, LLC, ALASKA | 10273979 | ALASKA |
| Headquarter of | WELLS PHARMACY NETWORK, LLC, ALABAMA | 000-048-306 | ALABAMA |
| Headquarter of | WELLS PHARMACY NETWORK, LLC, NEW YORK | 4988080 | NEW YORK |
| Headquarter of | WELLS PHARMACY NETWORK, LLC, COLORADO | 20171844165 | COLORADO |
| Headquarter of | WELLS PHARMACY NETWORK, LLC, ILLINOIS | LLC_03747212 | ILLINOIS |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790054773 | 2011-12-21 | 2012-10-19 | 11120 S CROWN WAY, SUITE 11, WELLINGTON, FL, 334148718, US | 11120 S CROWN WAY STE 11, WELLINGTON, FL, 334148718, US | |||||||||||||||||||||||||||
|
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| Phone | +1 561-793-1568 |
| Fax | 5617931570 |
Authorized person
| Name | ROBERT WILBUR |
| Role | PRESIDENT |
| Phone | 5617931568 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| License Number | PH25799 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5708435 |
| Name | Role | Address |
|---|---|---|
| McMillen William E | Agent | 3420 Fairlane Farms Road, WELLINGTON, FL, 33414 |
| Name | Role | Address |
|---|---|---|
| McMillen William E | Managing Member | 3420 Fairlane Farms Road, WELLINGTON, FL, 33414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2013-10-03 | 3420 Fairlane Farms Road, Suite 300, WELLINGTON, FL 33414 | No data |
| CHANGE OF MAILING ADDRESS | 2013-10-03 | 3420 Fairlane Farms Road, Suite 300, WELLINGTON, FL 33414 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-10-03 | McMillen, William E | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-10-03 | 3420 Fairlane Farms Road, Suite 300, WELLINGTON, FL 33414 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-05-15 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-13 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-04-11 |
| ANNUAL REPORT | 2018-04-19 |
| ANNUAL REPORT | 2017-04-11 |
| ANNUAL REPORT | 2016-04-12 |
| ANNUAL REPORT | 2015-04-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
