| Entity Name: | BEAR LAKE PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 18 Aug 2016 (8 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L16000155036 |
| FEI/EIN Number | 81-3632273 |
| Address: | 3840 East Semoran Blvd, Apopka, FL, 32703, US |
| Mail Address: | 5742 Saybrook Circle, Sanford, FL, 32771, US |
| ZIP code: | 32703 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215477419 | 2017-03-07 | 2017-03-07 | 3840 E SEMORAN BLVD, SUITE 1048, APOPKA, FL, 327036197, US | 3840 E SEMORAN BLVD, SUITE 1048, APOPKA, FL, 327036197, US | |||||||||||||||||||
|
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| Phone | +1 407-848-4442 |
| Fax | 3214446731 |
Authorized person
| Name | DR. WALTER L SEIFERT |
| Role | OWNER |
| Phone | 4078484442 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 151690 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MERCADO JOSE | Agent | 3840 East Semoran Blvd., Apopka, FL, 32703 |
| Name | Role | Address |
|---|---|---|
| MERCADO JOSE A | Manager | 3840 EAST SEMORAN BLVD., APOPKA, FL, 32703 |
| MERCADO YAZMIN | Manager | 3840 EAST SEMORAN BLVD., APOPKA, FL, 32703 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REINSTATEMENT | 2019-10-10 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-10-10 | 3840 East Semoran Blvd., SUITE 1048, Apopka, FL 32703 | No data |
| CHANGE OF MAILING ADDRESS | 2019-10-10 | 3840 East Semoran Blvd, Suite 1048, Apopka, FL 32703 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-10 | MERCADO, JOSE | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-10-10 | 3840 East Semoran Blvd, Suite 1048, Apopka, FL 32703 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| LC AMENDMENT | 2018-07-24 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2019-10-10 |
| LC Amendment | 2018-07-24 |
| ANNUAL REPORT | 2018-04-12 |
| ANNUAL REPORT | 2017-01-18 |
| Florida Limited Liability | 2016-08-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
