| Entity Name: | SETON PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 14 Nov 1989 (35 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 22 Dec 2000 (24 years ago) |
| Document Number: | L29299 |
| FEI/EIN Number | 59-3001427 |
| Address: | 1 Shircliff Way, JACKSONVILLE, FL 32204 |
| Mail Address: | 1 Shircliff Way, JACKSONVILLE, FL 32204 |
| ZIP code: | 32204 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235559469 | 2014-04-28 | 2015-07-07 | 1760 EDGEWOOD AVE W, SUITE C, JACKSONVILLE, FL, 322087209, US | 1760 EDGEWOOD AVE W STE C, JACKSONVILLE, FL, 322087209, US | |||||||||||||||||||||||||||||
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| Phone | +1 904-450-8787 |
| Fax | 9049241145 |
Authorized person
| Name | CHARZETTA JAMES |
| Role | PHARMACY DIRECTOR,AO |
| Phone | 9044508787 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH28043 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 013794500 |
| State | FL |
| Issuer | PK |
| Number | 2148118 |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| Redmon, Estrellita, MD | President | 5151 North Ninth Avenue, Pensacola, FL 32504 |
| Name | Role | Address |
|---|---|---|
| Redmon, Estrellita, MD | Director | 5151 North Ninth Avenue, Pensacola, FL 32504 |
| Trank, Jalima | Director | 1 Shircliff Way, JACKSONVILLE, FL 32204 |
| Name | Role | Address |
|---|---|---|
| Redmon, Estrellita, MD | Chair | 5151 North Ninth Avenue, Pensacola, FL 32504 |
| Name | Role | Address |
|---|---|---|
| Trank, Jalima | Secretary | 1 Shircliff Way, JACKSONVILLE, FL 32204 |
| Name | Role | Address |
|---|---|---|
| Trank, Jalima | Treasurer | 1 Shircliff Way, JACKSONVILLE, FL 32204 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000111776 | ASCENSION RX | ACTIVE | 2021-08-30 | 2026-12-31 | No data | 102 WOODMONT BOULEVARD, SUITE 600, NASHVILLE, TN, 37205 |
| G18000128161 | ASCENSION PHARMACY | ACTIVE | 2018-12-04 | 2028-12-31 | No data | 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-03-09 | 1 Shircliff Way, JACKSONVILLE, FL 32204 | No data |
| CHANGE OF MAILING ADDRESS | 2019-03-09 | 1 Shircliff Way, JACKSONVILLE, FL 32204 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-08-17 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-08-17 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | No data |
| NAME CHANGE AMENDMENT | 2000-12-22 | SETON PHARMACY, INC. | No data |
| AMENDED AND RESTATEDARTICLES | 1996-11-12 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-18 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-01-22 |
| AMENDED ANNUAL REPORT | 2019-12-10 |
| ANNUAL REPORT | 2019-03-09 |
| ANNUAL REPORT | 2018-02-02 |
| Reg. Agent Change | 2017-08-17 |
| ANNUAL REPORT | 2017-04-28 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
