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EXTENDED CARE PHARMACY, INC. - Florida Company Profile

Company Details

Entity Name: EXTENDED CARE PHARMACY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

EXTENDED CARE PHARMACY, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

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: 18 Jan 2000 (25 years ago)
Date of dissolution: 06 Feb 2015 (10 years ago)
Last Event: VOLUNTARY DISS W/ NOTICE
Event Date Filed: 06 Feb 2015 (10 years ago)
Document Number: P00000005417
FEI/EIN Number 593618931

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 6400 CRILL AVENUE, PALATKA, FL, 32177
Mail Address: 6400 CRILL AVENUE, PALATKA, FL, 32177
ZIP code: 32177
County: Putnam
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013913680 2005-06-28 2012-08-07 6400 CRILL AVE, PALATKA, FL, 321773876, US 6400 CRILL AVE, PALATKA, FL, 321773876, US

Contacts

Phone +1 386-325-5505
Fax 3863289393

Authorized person

Name MR. MARK CASEY PHILLIPS
Role VICE PRESIDENT
Phone 3863255505

Taxonomy

Taxonomy Code 183500000X - Pharmacist
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 032497300
State FL
Issuer NCPDP
Number 1088803
State FL

Key Officers & Management

Name Role Address
PHILLIPS MARK CASEY Vice President P. O. BOX 86, HOLLISTER, FL, 32147
PHILLIPS BONNIE M Secretary P. O. BOX 86, HOLLISTER, FL, 32147
PHILLIPS BONNIE M Treasurer P. O. BOX 86, HOLLISTER, FL, 32147
Phillips Mark Casey Agent 6400 CRILL AVENUE, PALATKA, FL, 32177
PHILLIPS BONNIE M President P. O. BOX 86, HOLLISTER, FL, 32147

Events

Event Type Filed Date Value Description
VOLUNTARY DISS W/ NOTICE 2015-02-06 - -
REGISTERED AGENT NAME CHANGED 2014-01-17 Phillips, Mark Casey -
REINSTATEMENT 2011-01-24 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 - -
CHANGE OF PRINCIPAL ADDRESS 2001-02-15 6400 CRILL AVENUE, PALATKA, FL 32177 -
CHANGE OF MAILING ADDRESS 2001-02-15 6400 CRILL AVENUE, PALATKA, FL 32177 -
REGISTERED AGENT ADDRESS CHANGED 2001-02-15 6400 CRILL AVENUE, PALATKA, FL 32177 -

Documents

Name Date
CORAPVDWN 2015-02-06
ANNUAL REPORT 2014-01-17
ANNUAL REPORT 2013-04-26
ANNUAL REPORT 2012-01-23
REINSTATEMENT 2011-01-24
ANNUAL REPORT 2009-06-23
ANNUAL REPORT 2008-01-09
ANNUAL REPORT 2007-02-05
ANNUAL REPORT 2006-01-27
ANNUAL REPORT 2005-03-03

Date of last update: 02 Mar 2025

Sources: Florida Department of State