| Entity Name: | WISDOM PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 12 Jul 2016 (9 years ago) |
| Last Event: | LC DISSOCIATION MEM |
| Event Date Filed: | 12 Oct 2021 (3 years ago) |
| Document Number: | L16000131012 |
| FEI/EIN Number | 81-3362163 |
| Address: | 4123 W Hillsborough Ave Suite C, tampa, FL 33614 |
| Mail Address: | 4123 W Hillsborough Ave Suite C, tampa, FL 33614 |
| ZIP code: | 33614 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013772193 | 2024-02-16 | 2024-02-16 | 4123 W HILLSBOROUGH AVE STE C, TAMPA, FL, 336145609, US | 4123 W HILLSBOROUGH AVE STE C, TAMPA, FL, 336145609, US | |||||||||||||
|
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| Phone | +1 812-443-6980 |
Authorized person
| Name | MICHAEL SHAKER |
| Role | PHARMACY OWNER |
| Phone | 7277817400 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Shaker, Michael | Agent | 3928 ambassador dr, PALM HARBOR, FL 34685 |
| Name | Role | Address |
|---|---|---|
| SHAKER, MICHAEL | Manager | 3928 ambassador dr, PALM HARBOR, FL 34685 |
| MICHAEIL, MARIA | Manager | 1762 Hadden Hall Pl, Trinity, FL 34655 |
| John, Shady | Manager | 1608 Tawnyberry ct, Trintity, FL 34655 |
| Goun, Emad | Manager | 12184 Crestridge Loop, Trinity, FL 34655 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000053102 | TRUST PHARMACY | ACTIVE | 2024-04-22 | 2029-12-31 | No data | 4123 W HILLSBOROUGH AVE SUITE C, TAMPA, FL, 33614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-01-08 | 4123 W Hillsborough Ave Suite C, tampa, FL 33614 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-08 | 3928 ambassador dr, PALM HARBOR, FL 34685 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-01-08 | Shaker, Michael | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-12-21 | 4123 W Hillsborough Ave Suite C, tampa, FL 33614 | No data |
| LC DISSOCIATION MEM | 2021-10-12 | No data | No data |
| LC AMENDMENT | 2021-05-07 | No data | No data |
| REINSTATEMENT | 2019-02-04 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-08 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-26 |
| CORLCDSMEM | 2021-10-12 |
| AMENDED ANNUAL REPORT | 2021-09-29 |
| LC Amendment | 2021-05-07 |
| AMENDED ANNUAL REPORT | 2021-05-05 |
| ANNUAL REPORT | 2021-03-25 |
| ANNUAL REPORT | 2020-03-29 |
| AMENDED ANNUAL REPORT | 2019-12-03 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
