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WHOLE LIFE PHARMACY, LLC. - Florida Company Profile

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Company Details

Entity Name: WHOLE LIFE PHARMACY, LLC.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 20 May 2013 (12 years ago)
Date of dissolution: 20 May 2015 (10 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 20 May 2015 (10 years ago)
Document Number: L13000073740
FEI/EIN Number 46-2814295
Address: 10575 OLD DIXIE HWY, PONTE VEDRA, FL, 32081, US
Mail Address: 10575 OLD DIXIE HWY SUITE A, PONTE VEDRA, FL, 32081
ZIP code: 32081
City: Ponte Vedra
County: St. Johns
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HEATH TIFFANY Managing Member 211 Eleventh street, ST AUGUSTINE, FL, 32084
HEATH DUSTIN Managing Member 211 Eleventh street, ST AUGUSTINE, FL, 32084
SEVERT JOSHUA A Managing Member 3000 LEWIS SPEEDWAY, ST AUGUSTINE, FL, 32084
HEATH DUSTIN Agent 211 eleventh street, ST AUGUSTINE, FL, 23084

National Provider Identifier

NPI Number:
1336574003

Authorized Person:

Name:
MRS. TIFFANY AMBER HEATH
Role:
PHARMACY MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Fax:
8553199872

Form 5500 Series

Employer Identification Number (EIN):
462814295
Plan Year:
2015
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
0
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2015-05-20 - -
REGISTERED AGENT ADDRESS CHANGED 2015-03-25 211 eleventh street, ST AUGUSTINE, FL 23084 -
CHANGE OF MAILING ADDRESS 2014-05-27 10575 OLD DIXIE HWY, PONTE VEDRA, FL 32081 -
LC AMENDMENT 2014-05-27 - -
CHANGE OF PRINCIPAL ADDRESS 2014-03-20 10575 OLD DIXIE HWY, PONTE VEDRA, FL 32081 -
REGISTERED AGENT NAME CHANGED 2013-12-13 HEATH, DUSTIN -
LC AMENDMENT 2013-12-13 - -

Documents

Name Date
VOLUNTARY DISSOLUTION 2015-05-20
ANNUAL REPORT 2015-03-25
LC Amendment 2014-05-27
ANNUAL REPORT 2014-03-20
LC Amendment 2013-12-13
Florida Limited Liability 2013-05-20

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Date of last update: 01 Aug 2025

Sources: Florida Department of State