| Entity Name: | HOLLEY-NAVARRE PHARMACY & GIFTS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Sep 2011 (13 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 22 Jan 2018 (7 years ago) |
| Document Number: | L11000105722 |
| FEI/EIN Number | 371650203 |
| Address: | 8440 NEVADA STREET, NAVARRE, FL, 32566, US |
| Mail Address: | 5244 Hwy 80, Arcadia, LA, 71001, US |
| ZIP code: | 32566 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639793276 | 2020-05-29 | 2023-04-04 | 8440 NEVADA ST, NAVARRE, FL, 325669284, US | 8440 NEVADA ST., NAVARRE, FL, 32566, US | |||||||||||||||||||||
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| Phone | +1 850-359-6619 |
| Fax | 8506841049 |
Authorized person
| Name | DR. JERRY DALE SHERRILL |
| Role | OWNER / MANAGER |
| Phone | 8503596619 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 108865500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Sherrill Jerry DDr. | Agent | 6868 Mertis Way, Milton, FL, 32583 |
| Name | Role | Address |
|---|---|---|
| SHERRILL JERRY DDr. | Manager | 5244 Hwy 80, Arcadia, LA, 71001 |
| Name | Role | Address |
|---|---|---|
| Sherrill Judith D | Authorized Member | 5244 Hwy 80, Arcadia, LA, 71001 |
| BASHAM BRITTANI | Authorized Member | 5244 Hwy 80, Arcadia, LA, 71001 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-29 | 8440 NEVADA STREET, NAVARRE, FL 32566 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-10 | 8440 NEVADA STREET, NAVARRE, FL 32566 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-10 | 6868 Mertis Way, Milton, FL 32583 | No data |
| LC AMENDMENT | 2018-01-22 | No data | No data |
| REINSTATEMENT | 2017-10-16 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-04-21 | Sherrill, Jerry D, Dr. | No data |
| REINSTATEMENT | 2012-10-22 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-03-07 |
| AMENDED ANNUAL REPORT | 2021-03-18 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-18 |
| LC Amendment | 2018-01-22 |
| REINSTATEMENT | 2017-10-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
