| Entity Name: | COASTAL SPECIALTY PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 16 Oct 2012 (12 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: | L12000131362 |
| FEI/EIN Number | 46-1364720 |
| Address: | 2050 HIGHWAY 30A, UNIT M1-106, SANTA ROSA BEACH, FL, 32459 |
| Mail Address: | 19 Town Center Loop, Unit 1A, SANTA ROSA BEACH, FL, 32459, US |
| ZIP code: | 32459 |
| County: | Walton |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598009573 | 2012-11-15 | 2012-11-15 | 2050 W COUNTY HIGHWAY 30A, M1-106, SANTA ROSA BEACH, FL, 324590187, US | 2050 W COUNTY HIGHWAY 30A, M1-106, SANTA ROSA BEACH, FL, 324590187, US | |||||||||||||
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| Phone | +1 850-622-3315 |
Authorized person
| Name | JOAN ELLISON |
| Role | MGMR |
| Phone | 8506223313 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ELLISON JOAN L | Agent | 58 Pearl Aardon Cove, SANTA ROSA BEACH, FL, 32459 |
| Name | Role | Address |
|---|---|---|
| ELLISON JOAN L | Managing Member | 58 Pearl Aardon Cove, SANTA ROSA BEACH, FL, 32459 |
| Name | Role | Address |
|---|---|---|
| ELLISON DALLAS M | Manager | 58 Pearl Aardon Cove, SANTA ROSA BEACH, FL, 32459 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-06 | 2050 HIGHWAY 30A, UNIT M1-106, SANTA ROSA BEACH, FL 32459 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-06 | 58 Pearl Aardon Cove, SANTA ROSA BEACH, FL 32459 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-01-18 |
| ANNUAL REPORT | 2014-04-06 |
| ANNUAL REPORT | 2013-01-27 |
| Florida Limited Liability | 2012-10-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
