| Entity Name: | CLA PHARMACY GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 08 Dec 2016 (8 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L16000222920 |
| FEI/EIN Number | 81-4654343 |
| Address: | 5240 GOLDEN GATE PARKWAY, NAPLES, FL, 34116, US |
| Mail Address: | 5240 GOLDEN GATE PKWY, NAPLES, FL, 34116, US |
| ZIP code: | 34116 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619490356 | 2017-07-25 | 2021-01-09 | 5240 GOLDEN GATE PKWY, NAPLES, FL, 341167670, US | 5240 GOLDEN GATE PKWY, NAPLES, FL, 341167670, US | |||||||||||||||||||||||||||||||
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| Phone | +1 239-241-2864 |
| Fax | 2392345489 |
Authorized person
| Name | DEYSI IGLESIAS |
| Role | OWNER |
| Phone | 2392346835 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH30776 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2170118 |
| Name | Role |
|---|---|
| VANESSA M. BERTRAN, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| IGLESIAS DEYSI | Managing Member | 6080 AUTUMN OAKS LN, NAPLES, FL, 34119 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000003459 | BENZER PHARMACY | EXPIRED | 2017-01-10 | 2022-12-31 | No data | 6080 AUTUMN OAKS LANE, NAPLES, FL, 34119 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-05 | 5240 GOLDEN GATE PARKWAY, NAPLES, FL 34116 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-05 | 5240 GOLDEN GATE PARKWAY, NAPLES, FL 34116 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-03-30 |
| ANNUAL REPORT | 2021-01-05 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-03-27 |
| ANNUAL REPORT | 2018-01-25 |
| ANNUAL REPORT | 2017-02-21 |
| Florida Limited Liability | 2016-12-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
