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HEARTLAND PHARMACY, INC.

Company Details

Entity Name: HEARTLAND PHARMACY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 24 Aug 1988 (36 years ago)
Document Number: M95808
FEI/EIN Number 592907933
Address: 1707 DIVOT LANE, SEBRING, FL, 33872, US
Mail Address: 1707 DIVOT LANE, SEBRING, FL, 33872-3888
ZIP code: 33872
County: Highlands
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316958358 2006-08-11 2020-08-22 PO BOX 5047, MERIDIAN, MS, 393025047, US 6801 US HIGHWAY 27 N, E-7, SEBRING, FL, 338707840, US

Contacts

Phone +1 863-385-2866

Authorized person

Name R DUNCAN
Role OWNER
Phone 8633852866

Taxonomy

Taxonomy Code 3336S0011X - Specialty Pharmacy
License Number PH10353
State FL
Is Primary Yes

Other Provider Identifiers

Issuer BLACKLUNG
Number 500504
Issuer BCBS
Number P5570
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HEARTLAND PHARMACY, INC. 401(K) PROFIT SHARING PLAN & TRUST 2020 592907933 2021-07-30 HEARTLAND PHARMACY, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 8633860600
Plan sponsor’s address 6360 US HWY. 27 N, SEBRING, FL, 33870
HEARTLAND PHARMACY, INC. 401(K) PROFIT SHARING PLAN & TRUST 2020 592907933 2021-07-30 HEARTLAND PHARMACY, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 8633860600
Plan sponsor’s address 6360 US HWY. 27 N, SEBRING, FL, 33870
HEARTLAND PHARMACY, INC. 401(K) PROFIT SHARING PLAN & TRUST 2019 592907933 2020-10-14 HEARTLAND PHARMACY, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 8633860600
Plan sponsor’s address 6360 US HWY. 27 N, SEBRING, FL, 33870
HEARTLAND PHARMACY, INC. 401(K) PROFIT SHARING PLAN & TRUST 2018 592907933 2019-10-14 HEARTLAND PHARMACY, INC. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 8633860600
Plan sponsor’s address 6360 US HWY. 27 N, SEBRING, FL, 33870
HEARTLAND PHARMACY, INC. 401(K) PROFIT SHARING PLAN & TRUST 2017 592907933 2018-10-12 HEARTLAND PHARMACY, INC. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 8633860600
Plan sponsor’s address 6360 US HWY. 27 N, SEBRING, FL, 33870
HEARTLAND PHARMACY, INC. 401(K) PROFIT SHARING PLAN & TRUST 2016 592907933 2017-11-16 HEARTLAND PHARMACY, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-11-01
Business code 446110
Sponsor’s telephone number 8633860600
Plan sponsor’s address 6360 US HWY. 27 N, SEBRING, FL, 33870
HEARTLAND PHARMACY INC 401 K PROFIT SHARING PLAN TRUST 2015 592907933 2016-05-25 HEARTLAND PHARMACY INC 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-05-10
Business code 446110
Sponsor’s telephone number 8633855588
Plan sponsor’s address 6360 US 27 N, SEBRING, FL, 33870

Signature of

Role Plan administrator
Date 2016-05-25
Name of individual signing CARIN BRALTS
Valid signature Filed with authorized/valid electronic signature
HEARTLAND PHARMACY INC 401 K PROFIT SHARING PLAN TRUST 2014 592907933 2015-07-29 HEARTLAND PHARMACY INC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-05-10
Business code 446110
Sponsor’s telephone number 8633855588
Plan sponsor’s address 6360 US 27 N, SEBRING, FL, 33870

Signature of

Role Plan administrator
Date 2015-07-29
Name of individual signing CARIN BRALTS
Valid signature Filed with authorized/valid electronic signature
HEARTLAND PHARMACY INC 401 K PROFIT SHARING PLAN TRUST 2013 592907933 2014-07-10 HEARTLAND PHARMACY INC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-11-01
Business code 446110
Sponsor’s telephone number 8633852866
Plan sponsor’s address 6360 US HIGHWAY 27 N, SEBRING, FL, 338701225

Signature of

Role Plan administrator
Date 2014-07-10
Name of individual signing CARIN BRALTS
Valid signature Filed with authorized/valid electronic signature
HEARTLAND PHARMACY INC 401 K PROFIT SHARING PLAN TRUST 2012 592907933 2013-05-22 HEARTLAND PHARMACY INC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-11-01
Business code 446110
Sponsor’s telephone number 8633852866
Plan sponsor’s address 6360 US HIGHWAY 27 N, SEBRING, FL, 338701225

Signature of

Role Plan administrator
Date 2013-05-22
Name of individual signing HEARTLAND PHARMACY INC
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DUNCAN ROBERT E. Agent 1707 DIVOT LANE, SEBRING, FL, 33872

Secretary

Name Role Address
DUNCAN, CAROLINE W. Secretary 1707 DIVOT LANE, SEBRING, FL

President

Name Role Address
DUNCAN, ROBERT E. President 1707 DIVOT LANE, SEBRING, FL

Director

Name Role Address
BRALTS CARIN Director 4300 BUNKER DRIVE, SEBRING, FL, 33872
Duncan Carl Director 1707 DIVOT LANE, SEBRING, FL, 338723888

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000073627 HEARTLAND MEDICAL SUPPLY ACTIVE 2021-06-01 2026-12-31 No data 1707 DIVOT LN, SEBRING, FL, 33870
G11000037421 HEARTLAND VITAL CARE EXPIRED 2011-04-16 2016-12-31 No data 6360 U.S. 27 NORTH, SEBRING, FL, 33870

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
REVOCATION OF VOLUNTARY DISSOLUT 2023-06-30 No data No data
VOLUNTARY DISSOLUTION 2023-04-25 No data No data

Date of last update: 02 Jan 2025

Sources: Florida Department of State