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PACE PHARMACY, LLC

Company Details

Entity Name: PACE PHARMACY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 09 May 2017 (8 years ago)
Document Number: L17000102857
FEI/EIN Number 82-1436114
Address: 4880 Woodbine Road, PACE, FL, 32571, US
Mail Address: 4880 Woodbine Road, PACE, FL, 32571, US
ZIP code: 32571
County: Santa Rosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205356086 2017-06-22 2023-03-14 4880 WOODBINE RD, PACE, FL, 325718762, US 4880 WOODBINE RD, PACE, FL, 325718762, US

Contacts

Phone +1 850-463-4232
Fax 8504634236

Authorized person

Name STEPHEN BURKLOW
Role OWNER
Phone 8504634232

Taxonomy

Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number PENDING
State FL
Is Primary Yes
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
Is Primary No

Agent

Name Role Address
Burklow Stephen A Agent 4880 Woodbine Road, PACE, FL, 32571

Manager

Name Role Address
Burklow Stephen A Manager 4880 Woodbine Road, PACE, FL, 32571
Burklow Monique H Manager 4880 Woodbine Road, PACE, FL, 32571

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-02-02 Burklow, Stephen A. No data
REGISTERED AGENT ADDRESS CHANGED 2021-03-27 4880 Woodbine Road, PACE, FL 32571 No data
CHANGE OF PRINCIPAL ADDRESS 2019-02-15 4880 Woodbine Road, PACE, FL 32571 No data
CHANGE OF MAILING ADDRESS 2019-02-15 4880 Woodbine Road, PACE, FL 32571 No data

Documents

Name Date
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-05-01
AMENDED ANNUAL REPORT 2022-02-02
ANNUAL REPORT 2022-01-21
ANNUAL REPORT 2021-03-27
ANNUAL REPORT 2020-04-10
ANNUAL REPORT 2019-02-15
ANNUAL REPORT 2018-09-22
Florida Limited Liability 2017-05-09

Date of last update: 02 Feb 2025

Sources: Florida Department of State