Entity Name: | CARELINE PHARMACY AND HEALTHCARE SERVICES LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 08 Feb 2018 (7 years ago) |
Date of dissolution: | 27 Sep 2024 (5 months ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 27 Sep 2024 (5 months ago) |
Document Number: | L18000035581 |
FEI/EIN Number | 82-4260516 |
Address: | 11200 E MARTIN LUTHER KING BLVD, SEFFNER, FL, 33584, US |
Mail Address: | 30606 LATOURETTE DRIVE, WESLEY CHAPEL, FL, 33545, US |
ZIP code: | 33584 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1306333497 | 2018-04-16 | 2021-05-21 | 11200 E MARTIN LUTHER KING BLVD, STE 103, SEFFNER, FL, 335848348, US | 11200 E MARTIN LUTHER KING BLVD, STE 103, SEFFNER, FL, 335843358, US | |||||||||||||||||||||||||||||||||||
|
Phone | +1 813-333-0870 |
Fax | 8132354725 |
Fax | 8132354726 |
Authorized person
Name | SAKYI KOBINA SARSAH |
Role | DIRECTOR |
Phone | 8133330870 |
Taxonomy
Taxonomy Code | 333600000X - Pharmacy |
Is Primary | No |
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
License Number | PH31332 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | PK |
Number | 2177009 |
Issuer | MEDICAID |
Number | 025096400 |
State | FL |
Name | Role | Address |
---|---|---|
SARSAH SAKYI K | Agent | 30606 LATOURETTE DRIVE, WESLEY CHAPEL, FL, 33545 |
Name | Role | Address |
---|---|---|
SARSAH SAKYI K | Manager | 30606 LATOURETTE DRIVE, WESLEY CHAPEL, FL, 33545 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2020-09-05 | 11200 E MARTIN LUTHER KING BLVD, STE 103, SEFFNER, FL 33584 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2019-02-06 | 30606 LATOURETTE DRIVE, WESLEY CHAPEL, FL 33545 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2023-01-10 |
ANNUAL REPORT | 2022-09-02 |
ANNUAL REPORT | 2021-01-04 |
AMENDED ANNUAL REPORT | 2020-05-10 |
AMENDED ANNUAL REPORT | 2020-04-07 |
AMENDED ANNUAL REPORT | 2020-03-27 |
ANNUAL REPORT | 2020-01-14 |
ANNUAL REPORT | 2019-02-06 |
Florida Limited Liability | 2018-02-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State