| Entity Name: | WESTERN FLORIDA PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 12 Dec 2013 (11 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: | L13000172134 |
| FEI/EIN Number | 35-2491089 |
| Address: | 5001 COMMERCE PARK CIRCLE, PENSACOLA, FL, 32505 |
| Mail Address: | 5001 COMMERCE PARK CIRCLE, PENSACOLA, FL, 32505 |
| ZIP code: | 32505 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245647627 | 2014-07-17 | 2014-11-14 | 5001 COMMERCE PARK CIR, SUITE B, PENSACOLA, FL, 325051659, US | 5001 COMMERCE PARK CIR, SUITE B, PENSACOLA, FL, 325051659, US | |||||||||||||||||||||||||||||
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| Phone | +1 850-266-9282 |
Authorized person
| Name | WILLIAM CHANDLER |
| Role | COO |
| Phone | 2515107466 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| License Number | PH28320 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2146876 |
| Name | Role | Address |
|---|---|---|
| Noback Carl R | Agent | 4754 State Road 64 East, Bradenton, FL, 34208 |
| Name | Role | Address |
|---|---|---|
| Noback Carl R | Manager | 4754 State Road 64 East, Bradenton, FL, 34208 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-10-21 | Noback, Carl R | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-10-21 | 4754 State Road 64 East, Bradenton, FL 34208 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-21 |
| AMENDED ANNUAL REPORT | 2014-10-21 |
| ANNUAL REPORT | 2014-04-23 |
| Florida Limited Liability | 2013-12-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
