| Entity Name: | EAST COAST COMPOUNDING AND PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 19 Jan 2021 (4 years ago) |
| Document Number: | L21000037245 |
| FEI/EIN Number | 86-1912906 |
| Address: | 1617 ATLANTIC BLVD, JACKSONVILLE, FL 32207 |
| Mail Address: | 1617 ATLANTIC BLVD, JACKSONVILLE, FL 32207 |
| ZIP code: | 32207 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | EAST COAST COMPOUNDING AND PHARMACY LLC, ILLINOIS | LLC_12285965 | ILLINOIS |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629738497 | 2021-12-21 | 2021-12-21 | 1617 ATLANTIC BLVD, JACKSONVILLE, FL, 322073300, US | 1617 ATLANTIC BLVD, JACKSONVILLE, FL, 322073300, US | |||||||||||||||||
|
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| Phone | +1 850-291-0892 |
Authorized person
| Name | MAX MCDANIEL |
| Role | OWNER |
| Phone | 8502910892 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| DAVIS, KYLE J | Agent | 10200 BELLE RIVE BLVD, 4503, JACKSONVILLE, FL 32256 |
| Name | Role | Address |
|---|---|---|
| DAVIS, KYLE J | Authorized Member | 10200 BELLE RIVE BLVD, JACKSONVILLE, FL 32256 |
| MCDANIEL, MAX P | Authorized Member | 400 LOWER 36TH AVE SOUTH, JACKSONVILLE BEACH, FL 32250 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-27 | 1617 ATLANTIC BLVD, JACKSONVILLE, FL 32207 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-26 |
| ANNUAL REPORT | 2023-01-17 |
| ANNUAL REPORT | 2022-01-27 |
| Florida Limited Liability | 2021-01-19 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
