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WELLS ROAD PHARMACY LLC

Company Details

Entity Name: WELLS ROAD PHARMACY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 29 Nov 2023 (a year ago)
Last Event: LC AMENDMENT
Event Date Filed: 07 May 2024 (9 months ago)
Document Number: L23000531351
FEI/EIN Number 93-4665669
Address: 1635 WELLS ROAD, STE 3, ORANGE PARK, FL 32073
Mail Address: 3150 CREEK VILLAGE LANE, GREEN COVE SPRINGS, FL 32043
ZIP code: 32073
County: Clay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578331575 2023-12-19 2024-06-25 1635 WELLS RD STE 3, ORANGE PARK, FL, 320732303, US 1635 WELLS RD STE 3, ORANGE PARK, FL, 320732303, US

Contacts

Phone +1 954-818-0739
Phone +1 904-375-7277

Authorized person

Name NORA C PEARSON
Role OWNER
Phone 9043757277

Taxonomy

Taxonomy Code 333600000X - Pharmacy
Is Primary Yes

Agent

Name Role Address
PEARSON, NORA C Agent 3150 CREEK VILLAGE LANE, GREEN COVE SPRINGS, FL 32043

Manager

Name Role Address
PEARSON, NORA C Manager 3150 CREEK VILLAGE LANE, GREEN COVE SPRINGS, FL 32043

Authorized Member

Name Role Address
HILL, JIMMIE T Authorized Member 6078 CHESTNUT GELDING LANE, JACKSONVILLE, FL 32234
HORN, PAMELA Authorized Member 69 MAGNOLIA CREEK WALK, PONTE VERDE, FL 32081

Events

Event Type Filed Date Value Description
LC AMENDMENT 2024-05-07 No data No data

Documents

Name Date
LC Amendment 2024-05-07
ANNUAL REPORT 2024-02-07
Florida Limited Liability 2023-11-29

Date of last update: 09 Feb 2025

Sources: Florida Department of State