| Entity Name: | CLEARWATER PHARMACY, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 23 Nov 2015 (9 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: | L15000197767 |
| Address: | 4700 140TH AVE. NORTH, 112, CLEARWATER, FL, 33759, US |
| Mail Address: | 4700 140TH AVE. NORTH, 112, CLEARWATER, FL, 33759, US |
| ZIP code: | 33759 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184099921 | 2015-12-04 | 2016-05-09 | 4700 140TH AVE N, SUITE 112, CLEARWATER, FL, 337623846, US | 4700 140TH AVE N STE 112, CLEARWATER, FL, 337623847, US | |||||||||||||||||||||||||||||||
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| Phone | +1 727-900-7787 |
| Fax | 7277543862 |
Authorized person
| Name | JESSICA LINTON |
| Role | OWNER |
| Phone | 9128442405 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH29994 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2158050 |
| Name | Role | Address |
|---|---|---|
| SMITH LUKE | Agent | 36474C EMERALD COAST PKWY, DESTIN, FL, 32541 |
| Name | Role |
|---|---|
| OPTIMUS CONSULTING FIRM, INC. | Manager |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| LC DISSOCIATION MEM | 2016-08-16 | No data | No data |
| LC DISSOCIATION MEM | 2016-08-08 | No data | No data |
| LC DISSOCIATION MEM | 2016-01-21 | No data | No data |
| LC AMENDMENT | 2016-01-21 | No data | No data |
| Name | Date |
|---|---|
| CORLCDSMEM | 2016-08-16 |
| CORLCDSMEM | 2016-08-08 |
| CORLCDSMEM | 2016-01-21 |
| LC Amendment | 2016-01-21 |
| Florida Limited Liability | 2015-11-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
