| Entity Name: | XUBEX PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 18 Jun 2012 (13 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L12000079949 |
| FEI/EIN Number | 45-5503628 |
| Address: | 500 STATE ROAD 436, SUITE 2064, CASSELBERRY, FL, 32707, US |
| Mail Address: | 500 STATE ROAD 436, SUITE 2064, CASSELBERRY, FL, 32707, US |
| ZIP code: | 32707 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073863312 | 2012-09-13 | 2013-01-31 | 500 SR 436 STE 2064, CASSELBERRY, FL, 327075392, US | 500 STATE ROAD 436 STE 2064, CASSELBERRY, FL, 327075392, US | |||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 407-378-2309 |
| Fax | 8664953304 |
Authorized person
| Name | MOHAMMAD HARIRI |
| Role | CEO/PRESIDENT |
| Phone | 9083312030 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PH26324 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336M0002X - Mail Order Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5711824 |
| Name | Role |
|---|---|
| NRAI SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| HARIRI MOHAMMAD | Managing Member | 9 RED BUG LANE, GREENBROOK, NJ, 08812 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-07-29 | 500 STATE ROAD 436, SUITE 2064, CASSELBERRY, FL 32707 | No data |
| CHANGE OF MAILING ADDRESS | 2013-07-29 | 500 STATE ROAD 436, SUITE 2064, CASSELBERRY, FL 32707 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-23 |
| ANNUAL REPORT | 2014-01-09 |
| ANNUAL REPORT | 2013-04-26 |
| Florida Limited Liability | 2012-06-18 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
