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COASTAL CARE PHARMACY LLC

Headquarter

Company Details

Entity Name: COASTAL CARE PHARMACY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 11 Feb 2014 (11 years ago)
Date of dissolution: 08 Mar 2022 (3 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 08 Mar 2022 (3 years ago)
Document Number: L14000023272
FEI/EIN Number 46-5060653
Address: 11939 panama city beach pkwy, panama city beach, FL 32407
Mail Address: 7895 HIGHWAY 119, STE 1, ALABASTER, AL 35007
ZIP code: 32407
County: Bay
Place of Formation: FLORIDA

Links between entities

Type Company Name Company Number State
Headquarter of COASTAL CARE PHARMACY LLC, ALABAMA 000-386-832 ALABAMA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1063824787 2014-05-29 2019-06-11 7895 HIGHWAY 119, SUITE 1, ALABASTER, AL, 35007, US 11939 PANAMA CITY BEACH PKWY, PANAMA CITY, FL, 324072605, US

Contacts

Phone +1 850-346-8868

Authorized person

Name CHARLES J SHIRLEY
Role VICE-PRESIDENT
Phone 2052462491

Taxonomy

Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number PH28172
State FL
Is Primary Yes

Agent

Name Role Address
SHIRLEY, CHARLES J Agent 11939 panama city beach pkwy, panama city beach, FL 32407

Manager

Name Role Address
SHIRLEY, CHARLES J Manager 7895 HIGHWAY 119, STE 1 ALABASTER, AL 35007

President

Name Role Address
COGGIN, JORDAN C President 304 CEDAR HILL DRIVE, BIRMINGHAM, AL 35242

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000036757 COASTAL CARE PHARMACY EXPIRED 2014-04-13 2019-12-31 No data 135 COTTONWOOD CIRCLE, LYNNHAVEN, FL, 32444

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2022-03-08 No data No data
REGISTERED AGENT NAME CHANGED 2021-01-29 SHIRLEY, CHARLES J No data
LC STMNT OF RA/RO CHG 2017-08-14 No data No data
LC AMENDMENT 2017-01-03 No data No data
CHANGE OF MAILING ADDRESS 2017-01-03 11939 panama city beach pkwy, panama city beach, FL 32407 No data
CHANGE OF PRINCIPAL ADDRESS 2016-03-10 11939 panama city beach pkwy, panama city beach, FL 32407 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2022-03-08
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-11
CORLCRACHG 2017-08-14
ANNUAL REPORT 2017-02-20
LC Amendment 2017-01-03
AMENDED ANNUAL REPORT 2016-03-10
ANNUAL REPORT 2016-03-04

Date of last update: 22 Jan 2025

Sources: Florida Department of State