| Entity Name: | TOWN AND COUNTRY PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 17 Mar 2011 (14 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 30 Oct 2012 (12 years ago) |
| Document Number: | L11000032959 |
| FEI/EIN Number | 27-5400024 |
| Mail Address: | 3711 TROUT RIVER BLVD, JACKSONVILLE, FL 32208 |
| Address: | 939 UNIVERSITY BLVD NORTH, JACKSONVILLE, FL 32211 |
| ZIP code: | 32211 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912292715 | 2011-06-09 | 2020-03-05 | 939 UNIVERSITY BLVD N, JACKSONVILLE, FL, 322115529, US | 939 UNIVERSITY BLVD N, JACKSONVILLE, FL, 322115529, US | |||||||||||||||||||||
|
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| Phone | +1 904-744-0104 |
| Fax | 9047440109 |
Authorized person
| Name | DR. EMMANUEL DORBU |
| Role | PHARMACIST |
| Phone | 9047440101 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003788300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DORBU, EMMANUEL S. | Agent | 3711 Trout River Blvd, Jacksonville, FL 32208 |
| Name | Role | Address |
|---|---|---|
| DORBU, EMMANUEL S. | Manager | 939 UNIVERSITY BLVD NORTH, JACKSONVILLE, FL 32211 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-18 | 3711 Trout River Blvd, Jacksonville, FL 32208 | No data |
| REINSTATEMENT | 2012-10-30 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2012-10-30 | 939 UNIVERSITY BLVD NORTH, JACKSONVILLE, FL 32211 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2023-01-05 |
| ANNUAL REPORT | 2022-01-03 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-01-31 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-17 |
| ANNUAL REPORT | 2016-04-18 |
| ANNUAL REPORT | 2015-01-08 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
