| Entity Name: | CUSTOM CARE PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
CUSTOM CARE PHARMACY, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 19 Sep 2014 (10 years ago) |
| Date of dissolution: | 28 Apr 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 28 Apr 2021 (4 years ago) |
| Document Number: | L14000147671 |
| FEI/EIN Number |
47-1878267
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 19103 AVENUE BAYONNES, LUTZ, FL, 33558, US |
| Mail Address: | 19103 AVENUE BAYONNES, LUTZ, FL, 33558, US |
| ZIP code: | 33558 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821442260 | 2016-04-22 | 2017-03-15 | 9332 STATE ROAD 54, #207, NEW PORT RICHEY, FL, 346551810, US | 9332 STATE ROAD 54 STE 207, NEW PORT RICHEY, FL, 346551810, US | |||||||||||||||||||||||||||
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| Phone | +1 727-495-6979 |
| Fax | 8558556979 |
Authorized person
| Name | FRANCOISE TROTMAN |
| Role | COMPLIANCE OFFICER |
| Phone | 7272678555 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH28789 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2157360 |
| Name | Role | Address |
|---|---|---|
| PATEL KRUTIKA | Manager | 19103 AVENUE BAYONNES, LUTZ, FL, 33558 |
| PATEL KRUTIKA | Agent | 19103 AVENUE BAYONNES, LUTZ, FL, 33558 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000013063 | CUSTOM CARE PHARMACY | EXPIRED | 2016-02-04 | 2021-12-31 | - | 9332 STATE ROAD 54 AT MEDICAL ARTS BLDG, NEW PORT RICHEY, FL, 34655 |
| G15000078319 | CUSTOM PET RX | EXPIRED | 2015-07-29 | 2020-12-31 | - | 13615 BRUCE B. DOWNS BLVD., SUITE #110, TAMPA, FL, 33613 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-04-28 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-02-11 | 19103 AVENUE BAYONNES, LUTZ, FL 33558 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-02-11 | 19103 AVENUE BAYONNES, LUTZ, FL 33558 | - |
| CHANGE OF MAILING ADDRESS | 2020-02-11 | 19103 AVENUE BAYONNES, LUTZ, FL 33558 | - |
| REGISTERED AGENT NAME CHANGED | 2019-04-30 | PATEL, KRUTIKA | - |
| LC AMENDMENT AND NAME CHANGE | 2016-01-06 | CUSTOM CARE PHARMACY, LLC | - |
| REINSTATEMENT | 2015-10-20 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | - | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-04-28 |
| ANNUAL REPORT | 2020-02-11 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-01-22 |
| ANNUAL REPORT | 2017-02-16 |
| AMENDED ANNUAL REPORT | 2016-06-16 |
| ANNUAL REPORT | 2016-03-10 |
| LC Amendment and Name Change | 2016-01-06 |
| REINSTATEMENT | 2015-10-20 |
| Florida Limited Liability | 2014-09-19 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
