| Entity Name: | PROFESSIONAL PHARMACY RESOURCES L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 15 Feb 2018 (7 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 01 Nov 2022 (2 years ago) |
| Document Number: | L18000042225 |
| FEI/EIN Number | 82-4648919 |
| Address: | 4854 WOODBINE ROAD, UNITS 5 & 6, PACE, FL 32571 |
| Mail Address: | 4854 WOODBINE ROAD, UNITS 5 & 6, PACE, FL 32571 |
| ZIP code: | 32571 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | PROFESSIONAL PHARMACY RESOURCES L.L.C., NEW YORK | 7445843 | NEW YORK |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598255861 | 2018-05-13 | 2018-05-13 | 4854 WOODBINE RD UNIT 5, PACE, FL, 325718709, US | 4854 WOODBINE RD UNIT 5, PACE, FL, 325718709, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 866-236-5040 |
Authorized person
| Name | LISA TISDALE |
| Role | ADMIN ASSIST |
| Phone | 8662365040 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH31350 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FL DEPARTMENT OF HEALTH |
| Number | PH31350 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SANTO, RICHARD W | Agent | 4854 WOODBINE ROAD, UNITS 5 & 6, PACE, FL 32571 |
| Name | Role | Address |
|---|---|---|
| HENDERSON, BRYAN D | Manager | 4854 WOODBINE ROAD, UNITS 5 & 6 PACE, FL 32571 |
| DENSMAN, HAL J | Manager | 4854 WOODBINE ROAD, UNITS 5 & 6 PACE, FL 32571 |
| SANTO, RICHARD W | Manager | 4854 WOODBINE ROAD, UNITS 5 & 6 PACE, FL 32571 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2022-11-01 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2022-11-01 | 4854 WOODBINE ROAD, UNITS 5 & 6, PACE, FL 32571 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-11-01 | 4854 WOODBINE ROAD, UNITS 5 & 6, PACE, FL 32571 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-07-27 | SANTO, RICHARD W | No data |
| REINSTATEMENT | 2020-10-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-03-22 |
| LC Amendment | 2022-11-01 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-04-21 |
| REINSTATEMENT | 2020-10-05 |
| ANNUAL REPORT | 2019-04-30 |
| Florida Limited Liability | 2018-02-15 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
