| Entity Name: | HAWA PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Jul 2001 (24 years ago) |
| Document Number: | P01000069557 |
| FEI/EIN Number | 593734726 |
| Address: | 646 S. DILLARD ST., WINTER GARDEN, FL, 34787 |
| Mail Address: | 646 S. DILLARD ST., WINTER GARDEN, FL, 34787 |
| ZIP code: | 34787 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427120203 | 2006-11-15 | 2023-03-07 | 646 S DILLARD ST, WINTER GARDEN, FL, 347873903, US | 646 S DILLARD ST, WINTER GARDEN, FL, 347873903, US | |||||||||||||||||||||||||||
|
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| Phone | +1 407-656-0081 |
| Fax | 4076560147 |
Authorized person
| Name | JOE IBSSA |
| Role | OWNER PHARMACIST |
| Phone | 4076560081 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH18281 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | OTHER ID NUMBER-COMMERCIAL NUMBER |
| Number | 1042845 |
| Name | Role | Address |
|---|---|---|
| IBSSA ABDUL | Agent | 646 S.DILLARD ST, WINTER GARDEN, FL, 34787 |
| Name | Role | Address |
|---|---|---|
| IBSSA ABDUL | President | 13400 SPLASH CT., ORLANDO, FL, 32828 |
| Name | Role | Address |
|---|---|---|
| IBSSA ABDUL | Secretary | 13400 SPLASH CT., ORLANDO, FL, 32828 |
| Name | Role | Address |
|---|---|---|
| IBSSA ABDUL | Treasurer | 13400 SPLASH CT., ORLANDO, FL, 32828 |
| Name | Role | Address |
|---|---|---|
| IBSSA ABDUL | Director | 13400 SPLASH CT., ORLANDO, FL, 32828 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000102080 | MEDICINE MAXX | ACTIVE | 2015-10-06 | 2025-12-31 | No data | 646 S. DILLARD STREET, WINTER GARDEN, FL, 34787 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2004-01-20 | IBSSA, ABDUL | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-01-20 | 646 S.DILLARD ST, WINTER GARDEN, FL 34787 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-03-23 |
| ANNUAL REPORT | 2020-05-04 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-03-07 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-02-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
