| Entity Name: | FAMILY CHOICE PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 Mar 2014 (11 years ago) |
| Document Number: | L14000035902 |
| FEI/EIN Number | 46-4974797 |
| Address: | 1897 Palm Beach Lakes Blvd., Suite 115, WEST PALM BEACH, FL 33409 |
| Mail Address: | 1897 Palm Beach Lakes Blvd., Suite 115, WEST PALM BEACH, FL 33409 |
| ZIP code: | 33409 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134534555 | 2014-06-24 | 2022-01-20 | 1897 PALM BEACH LAKES BLVD, SUITE115, WEST PALM BEACH, FL, 334093507, US | 1897 PALM BEACH LAKES BLVD, SUITE115, WEST PALM BEACH, FL, 334093507, US | |||||||||||||||||||||||||||||||
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| Phone | +1 561-822-3511 |
| Fax | 5618223702 |
Authorized person
| Name | MRS. AUDREY MARIE ROBINSON |
| Role | PHARMACIST/OWNER |
| Phone | 5618223511 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH 28152 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE OF FLORIDA DEPT OF HEALTH DIVISON OF MEDICAL QUALITY ASSURANCE |
| Number | PH 28152 |
| State | FL |
| Issuer | MEDICAID |
| Number | 013103300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROBINSON, GARY A | Agent | 3896 TORRES CIR, WEST PALM BEACH, FL 33409 |
| Name | Role | Address |
|---|---|---|
| ROBINSON, AUDREY M | Manager | 3896 TORRES CIR, WEST PALM BEACH, FL 33409 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2015-03-26 | 1897 Palm Beach Lakes Blvd., Suite 115, WEST PALM BEACH, FL 33409 | No data |
| CHANGE OF MAILING ADDRESS | 2015-03-26 | 1897 Palm Beach Lakes Blvd., Suite 115, WEST PALM BEACH, FL 33409 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-09 |
| ANNUAL REPORT | 2024-01-25 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-01-08 |
| ANNUAL REPORT | 2018-01-10 |
| ANNUAL REPORT | 2017-02-27 |
| ANNUAL REPORT | 2016-01-25 |
Date of last update: 21 Feb 2025
Sources: Florida Department of State
