| Entity Name: | SOUTH PACIFIC PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 08 Oct 2015 (9 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L15000171735 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 13203 NE 3 CT, NORTH MIAMI, FL 33161 |
| Mail Address: | 13203 NE 3 CT, NORTH MIAMI, FL 33161 |
| ZIP code: | 33161 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396099925 | 2012-11-05 | 2012-11-05 | 1800 SW 1ST ST, SUITE 101, MIAMI, FL, 331351960, US | 1800 SW 1ST ST, SUITE 101, MIAMI, FL, 331351960, US | |||||||||||||||||||||||||
|
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| Phone | +1 305-642-0180 |
| Fax | 3056420190 |
Authorized person
| Name | MR. JUAN CARLOS ARAGON |
| Role | PRESIDENT OWNER |
| Phone | 3056420180 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PH24055 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FLORIDA BOARD OF PHARMACY |
| Number | PH24055 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ARAGON, JUAN C | Agent | 13203 NE 3 CT, NORTH MIAMI, FL 33161 |
| Name | Role | Address |
|---|---|---|
| ARAGON, JUAN C | Manager | 13203 NE 3 CT, NORTH MIAMI, FL 33161 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REINSTATEMENT | 2018-10-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-10-22 | ARAGON, JUAN C | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2018-10-22 |
| ANNUAL REPORT | 2017-07-27 |
| ANNUAL REPORT | 2016-04-28 |
| Florida Limited Liability | 2015-10-08 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
