| Entity Name: | PIONEER PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 15 Jul 2024 (7 months ago) |
| Document Number: | L24000312319 |
| FEI/EIN Number | 99-4197312 |
| Address: | 9743 66TH ST N, PINELLAS PARK, FL 33782 |
| Mail Address: | 9743 66TH ST N, PINELLAS PARK, FL 33782 |
| ZIP code: | 33782 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033937792 | 2024-10-01 | 2024-10-28 | 9743 66TH ST N, PINELLAS PARK, FL, 337823008, US | 9743 66TH ST N, PINELLAS PARK, FL, 337823008, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 727-513-0873 |
| Fax | 7278002001 |
Authorized person
| Name | DR. NICHOLAS DEMATTEO |
| Role | OWNER |
| Phone | 7275130873 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DEMATTEO, NICHOLAS | Agent | 4409 W. PEARL ST, TAMPA, FL 33611 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-10-09 | 9743 66TH ST N, PINELLAS PARK, FL 33782 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-08 | 9743 66TH ST N, PINELLAS PARK, FL 33782 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-07-15 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
