| Entity Name: | SCOTTPHARM ENTERPRISES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 May 2021 (4 years ago) |
| Document Number: | L21000244835 |
| FEI/EIN Number | 87-0900848 |
| Mail Address: | 10033 SAWGRASS DRIVE WEST, SUITE 125, PONTE VEDRA BEACH, FL, 32082, US |
| Address: | 2720 U.S HIGHWAY 1 SOUTH, SUITE A, ST. AUGUSTINE, FL, 32086, US |
| ZIP code: | 32086 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790438166 | 2022-01-26 | 2024-10-12 | 2720 US 1 S STE A, SAINT AUGUSTINE, FL, 320866371, US | 2720 US 1 S STE A, SAINT AUGUSTINE, FL, 320866371, US | |||||||||||||||||||||
|
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| Phone | +1 904-484-7775 |
Authorized person
| Name | DR. MARK SCOTT |
| Role | DIRECTOR |
| Phone | 9044847775 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | No |
| Name | Role |
|---|---|
| CROCKETT LAW P.L. | Agent |
| Name | Role | Address |
|---|---|---|
| SCOTT MARK | Authorized Member | 1608 SAN JOSE FOREST COURT, ST. AUGUSTINE, FL, 32080 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000150922 | ST. JOHNS COMMUNITY PHARMACY | ACTIVE | 2021-11-10 | 2026-12-31 | No data | 2720 US1 SOUTH, SUITE A, ST. AUGUSTINE, FL, 32086 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-05-01 |
| Florida Limited Liability | 2021-05-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
