| Entity Name: | PATIENT CARE PHARMACY SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 22 Jun 2000 (25 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: | P00000060719 |
| FEI/EIN Number | 65-1033183 |
| Address: | 1476 MARKET CIRCLE, UNIT 1, PORT CHARLOTTE, FL 33953 |
| Mail Address: | 1476 MARKET CIRCLE, UNIT 1, PORT CHARLOTTE, FL 33953 |
| ZIP code: | 33953 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457423972 | 2006-11-14 | 2013-04-17 | 1476 MARKET CIR, UNIT 1, PORT CHARLOTTE, FL, 339533876, US | 1476 MARKET CIR, UNIT 1, PORT CHARLOTTE, FL, 339533876, US | |||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||
| Phone | +1 941-255-1987 |
| Fax | 9416295507 |
Authorized person
| Name | MICHAEL KLEIN |
| Role | OWNER |
| Phone | 9412551987 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PH17469 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 022734000 |
| State | FL |
| Issuer | PK |
| Number | 2013630 |
| Name | Role | Address |
|---|---|---|
| DUNKIN, DAVID A | Agent | 170 WEST DEARBORN STREET, ENGLEWOOD, FL 34223-3290 |
| Name | Role | Address |
|---|---|---|
| KLEIN, MICHAEL F | President | 146 MECCA STREET, PORT CHARLOTTE, FL 33954 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-05-23 | 1476 MARKET CIRCLE, UNIT 1, PORT CHARLOTTE, FL 33953 | No data |
| CHANGE OF MAILING ADDRESS | 2011-05-23 | 1476 MARKET CIRCLE, UNIT 1, PORT CHARLOTTE, FL 33953 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-01-14 |
| ANNUAL REPORT | 2013-01-14 |
| ANNUAL REPORT | 2012-01-16 |
| ANNUAL REPORT | 2011-05-23 |
| ANNUAL REPORT | 2010-01-06 |
| ANNUAL REPORT | 2009-01-27 |
| ANNUAL REPORT | 2008-02-15 |
| ANNUAL REPORT | 2007-01-31 |
| ANNUAL REPORT | 2006-02-17 |
| ANNUAL REPORT | 2005-02-21 |
Date of last update: 31 Jan 2025
Sources: Florida Department of State
