| Entity Name: | HARBOUR BAY PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 02 Jun 2017 (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: | L17000121175 |
| FEI/EIN Number | 30-0994719 |
| Address: | 3754 SE OCEAN BLVD, STE B, STUART, FL, 34996, US |
| Mail Address: | 3754 SE OCEAN BLVD, STE B, STUART, FL, 34996, US |
| ZIP code: | 34996 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790273944 | 2018-04-24 | 2018-10-04 | 3754 SE OCEAN BLVD STE B, STUART, FL, 349966700, US | 3754 SE OCEAN BLVD STE B, STUART, FL, 34996, US | |||||||||||||||||||||||||||
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| Phone | +1 844-407-3681 |
| Fax | 5615293117 |
Authorized person
| Name | LINDA YUN YUN |
| Role | MANAGING MEMBER |
| Phone | 9177573793 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Taxonomy Code | 3336M0002X - Mail Order Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2177002 |
| Name | Role | Address |
|---|---|---|
| SARAH GUO | Agent | NELSON MULLIN RILEY & SCARBOROUGH LLP, ORLANDO, FL, 32801 |
| Name | Role |
|---|---|
| INTRACOASTAL PHARMACY HOLDINGS LLC | Authorized Member |
| Name | Role | Address |
|---|---|---|
| SEMPLICINO SHERRIE | Manager | 3754 SE OCEAN BLVD, STUART, FL, 34996 |
| HEDGES DUSTIN | Manager | 3754 SE OCEAN BLVD, STUART, FL, 34996 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-30 | SARAH, GUO | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-30 | NELSON MULLIN RILEY & SCARBOROUGH LLP, 390 N ORANGE AVE, SUITE 1400, ORLANDO, FL 32801 | No data |
| LC AMENDMENT | 2018-10-18 | No data | No data |
| LC AMENDMENT | 2018-06-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-30 |
| LC Amendment | 2018-10-18 |
| LC Amendment | 2018-06-27 |
| ANNUAL REPORT | 2018-04-06 |
| Florida Limited Liability | 2017-06-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
