| 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 |
| 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 | |||||||||||||||||||||||||||
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| 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 |
| 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 |
| 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 | - |
| 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
