| Entity Name: | FENIX DRUG STORE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 26 Nov 2018 (6 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L18000272733 |
| FEI/EIN Number | 83-2682580 |
| Address: | 9103 Raes Creek Pl, Palmetto, FL, 34221, US |
| Mail Address: | 9103 Raes Creek Pl, Palmetto, FL, 34221, US |
| ZIP code: | 34221 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649811506 | 2019-10-02 | 2019-10-02 | 527 13TH ST W, BRADENTON, FL, 34205, US | 527 13TH ST W, BRADENTON, FL, 34205, US | |||||||||||||||||||
|
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| Phone | +1 888-511-1517 |
Authorized person
| Name | MELISSA HOLMES |
| Role | MANAGING MEMBER |
| Phone | 8885111517 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PHARMACY LICENSE |
| Number | PH32150 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HOLMES MELISSA | Agent | 9103 Raes Creek Pl, Palmetto, FL, 34221 |
| Name | Role | Address |
|---|---|---|
| Holmes Melissa | Manager | 9103 Raes Creek Pl, Palmetto, FL, 34221 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REINSTATEMENT | 2020-06-15 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-15 | 9103 Raes Creek Pl, Palmetto, FL 34221 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-15 | 9103 Raes Creek Pl, Palmetto, FL 34221 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-06-15 | HOLMES, MELISSA | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-15 | 9103 Raes Creek Pl, Palmetto, FL 34221 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| LC AMENDMENT | 2019-02-08 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2020-06-15 |
| LC Amendment | 2019-02-08 |
| Florida Limited Liability | 2018-11-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
