| 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 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336574003 | 2013-09-12 | 2014-01-23 | 2465 US 1 S STE 62, ST AUGUSTINE, FL, 320866076, US | 10575 DIXIE HWY, PONTE VEDRA, FL, 32081, US | |||||||||||||||||||
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| Phone | +1 904-827-0177 |
| Fax | 8553199872 |
Authorized person
| Name | MRS. TIFFANY AMBER HEATH |
| Role | PHARMACY MANAGER |
| Phone | 9048270177 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH27103 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WHOLE LIFE PHARMACY 401(K) PROFIT SHARING PLAN | 2015 | 462814295 | 2016-02-26 | WHOLE LIFE PHARMACY, LLC | 8 | |||||||||||||
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| WHOLE LIFE PHARMACY 401(K) PROFIT SHARING PLAN | 2014 | 462814295 | 2015-07-27 | WHOLE LIFE PHARMACY, LLC | 0 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| HEATH DUSTIN | Agent | 211 eleventh street, ST AUGUSTINE, FL, 23084 |
| 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 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2015-05-20 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-03-25 | 211 eleventh street, ST AUGUSTINE, FL 23084 | No data |
| CHANGE OF MAILING ADDRESS | 2014-05-27 | 10575 OLD DIXIE HWY, PONTE VEDRA, FL 32081 | No data |
| LC AMENDMENT | 2014-05-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-03-20 | 10575 OLD DIXIE HWY, PONTE VEDRA, FL 32081 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-12-13 | HEATH, DUSTIN | No data |
| LC AMENDMENT | 2013-12-13 | No data | No data |
| 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 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
