| Entity Name: | WELAKA PHARMACY, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
WELAKA PHARMACY, L.L.C. is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 06 Jul 1998 (27 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L98000000986 |
| FEI/EIN Number |
593520637
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 698 3RD AVENUE, WELAKA, FL, 32193 |
| Mail Address: | 1125 NORTH SUMMIT STREET, CRESCENT CITY, FL, 32112-1721 |
| ZIP code: | 32193 |
| County: | Putnam |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548307648 | 2007-01-30 | 2013-07-05 | 698 THIRD AVE, WELAKA, FL, 32193, US | 698 THIRD AVENUE, WELAKA, FL, 32193, US | |||||||||||||||||||||||||||||||
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| Phone | +1 386-467-9994 |
| Fax | 3864673112 |
Authorized person
| Name | THOMAS P BALL |
| Role | P |
| Phone | 3864679994 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | PH16228 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 106512201 |
| State | FL |
| Issuer | BCBS |
| Number | P7787 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FLETCHER WARREN D | Manager | 1125 NORTH SUMMIT STREET, CRESCENT CITY, FL, 32112 |
| FLETCHER WARREN D | Vice President | 1125 NORTH SUMMIT STREET, CRESCENT CITY, FL, 32112 |
| BUTLER WILLIAM E | Manager | 11254 N SUMMIT ST, CRESCENT CITY, FL, 32112 |
| BUTLER WILLIAM E | Secretary | 11254 N SUMMIT ST, CRESCENT CITY, FL, 32112 |
| BALL THOMAS P | Manager | STRICKLER RD, LAKE COMO, FL, 32157 |
| BALL THOMAS P | President | STRICKLER RD, LAKE COMO, FL, 32157 |
| LONG PATRICIA D | Agent | 1125 NORTH SUMMIT STREET, CRESCENT CITY, FL, 32112 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | - | - |
| REGISTERED AGENT NAME CHANGED | 2011-04-20 | LONG, PATRICIA D | - |
| REGISTERED AGENT ADDRESS CHANGED | 2005-04-27 | 1125 NORTH SUMMIT STREET, CRESCENT CITY, FL 32112 | - |
| CHANGE OF MAILING ADDRESS | 2000-04-24 | 698 3RD AVENUE, WELAKA, FL 32193 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2000-04-22 | 698 3RD AVENUE, WELAKA, FL 32193 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-08 |
| ANNUAL REPORT | 2013-03-05 |
| ANNUAL REPORT | 2012-01-05 |
| ANNUAL REPORT | 2011-04-20 |
| ANNUAL REPORT | 2010-04-20 |
| ANNUAL REPORT | 2009-04-20 |
| ANNUAL REPORT | 2008-07-07 |
| ANNUAL REPORT | 2007-04-25 |
| ANNUAL REPORT | 2006-05-01 |
| ANNUAL REPORT | 2005-04-27 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
