| Entity Name: | AETNA RX HOME DELIVERY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| 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: | 21 Jan 2003 (22 years ago) |
| Date of dissolution: | 14 Nov 2023 (a year ago) |
| Last Event: | WITHDRAWAL |
| Event Date Filed: | 14 Nov 2023 (a year ago) |
| Document Number: | M03000000218 |
| FEI/EIN Number |
NOT APPLICABLE
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 151 Farmington Avenue, Hartford, CT, 06156, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427096809 | 2006-06-04 | 2019-03-01 | 1600 SW 80TH TER FL 2, PLANTATION, FL, 333244049, US | 1600 SW 80TH TER, 2ND FLOOR, PLANTATION, FL, 333244049, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 866-612-3862 |
| Phone | +1 954-693-2800 |
| Fax | 9546932905 |
Authorized person
| Name | TOKUNBO NIKE KASSIM |
| Role | DIR, PHARMACIST IN CHARGE |
| Phone | 9592993008 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH21465 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336M0002X - Mail Order Pharmacy |
| License Number | PH21465 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE LICENSE |
| Number | PH21465 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Lee Edward C | President | 151 Farmington Avenue, RW61, Hartford, CT, 06156 |
| Aetna Health Holdings, LLC | Sole | 151 Farmington Avenue, Hartford, CT, 06156 |
| C T CORPORATION SYSTEM | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| WITHDRAWAL | 2023-11-14 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-12 | 151 Farmington Avenue, Hartford, CT 06156 | - |
| Name | Date |
|---|---|
| WITHDRAWAL | 2023-11-14 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-05-04 |
| ANNUAL REPORT | 2019-03-22 |
| ANNUAL REPORT | 2018-04-03 |
| ANNUAL REPORT | 2017-04-03 |
| ANNUAL REPORT | 2016-04-01 |
| ANNUAL REPORT | 2015-04-09 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
