Entity Name: | PURFORMANCE WELLNESS PHARMACY LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 10 Oct 2019 (5 years ago) |
Document Number: | L19000245902 |
FEI/EIN Number | 84-3342945 |
Mail Address: | 600 SE INDIAN STREET, STUART, FL, 34997, US |
Address: | 600 SE INDIAN STREET, STUART, FL, 34997 |
ZIP code: | 34997 |
County: | Martin |
Place of Formation: | FLORIDA |
Type | Company Name | Company Number | State |
---|---|---|---|
Headquarter of | PURFORMANCE WELLNESS PHARMACY LLC, ALASKA | 10246684 | ALASKA |
Headquarter of | PURFORMANCE WELLNESS PHARMACY LLC, ALABAMA | 000-822-882 | ALABAMA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1326651555 | 2020-08-27 | 2020-12-28 | 600 SE INDIAN ST STE 3, STUART, FL, 349975540, US | 600 SE INDIAN ST STE 3, STUART, FL, 349975540, US | |||||||||||||||||||
|
Phone | +1 561-467-5333 |
Fax | 5614674899 |
Authorized person
Name | SCOTT SHARP |
Role | MANAGER |
Phone | 5614675333 |
Taxonomy
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
Is Primary | Yes |
Taxonomy Code | 3336C0004X - Compounding Pharmacy |
Is Primary | No |
Name | Role | Address |
---|---|---|
D'LOUGHY JAMES D | Agent | 3910 RCA Blvd, PALM BEACH GARDENS, FL, 33410 |
Name | Role | Address |
---|---|---|
SHARP SCOTT | Manager | 600 SE INDIAN STREET, STUART, FL, 34997 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G20000078001 | SEVEN CELLS | ACTIVE | 2020-07-03 | 2025-12-31 | No data | 600 SE INDIAN STREET, STUART, FL, 33410 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT ADDRESS CHANGED | 2024-04-03 | 3910 RCA Blvd, Suite 1015, PALM BEACH GARDENS, FL 33410 | No data |
CHANGE OF MAILING ADDRESS | 2021-04-14 | 600 SE INDIAN STREET, STUART, FL 34997 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-03 |
ANNUAL REPORT | 2023-02-13 |
ANNUAL REPORT | 2022-01-25 |
ANNUAL REPORT | 2021-04-14 |
ANNUAL REPORT | 2020-06-23 |
Florida Limited Liability | 2019-10-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State