| Entity Name: | POINTE MED PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Sep 2001 (23 years ago) |
| Document Number: | P01000089331 |
| FEI/EIN Number | 593743702 |
| Address: | 1996 KINGSLEY AVE, ORANGE PARK, FL, 32073 |
| Mail Address: | 1996 KINGSLEY AVE, ORANGE PARK, FL, 32073, US |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366597015 | 2007-01-24 | 2020-08-22 | 1996 KINGSLEY AVE, ORANGE PARK, FL, 320734442, US | 1996 KINGSLEY AVE, ORANGE PARK, FL, 320734442, US | |||||||||||||||||||||||||||
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| Phone | +1 904-272-1919 |
| Fax | 9042729066 |
Authorized person
| Name | MR. ALVIN MICHAEL MCCLAIN |
| Role | PHARMACY MANAGER |
| Phone | 9042721919 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH18362 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| License Number | PH18362 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Bernard, MD Gary C | Agent | 1996 KINGSLEY AVE, ORANGE PARK, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| BERNARD GARY C | President | 1996 KINGSLEY AVE., ORANGE PARK, FL, 32073 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2019-04-17 | 1996 KINGSLEY AVE, ORANGE PARK, FL 32073 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-12-08 | Bernard, MD , Gary C | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-12-08 | 1996 KINGSLEY AVE, ORANGE PARK, FL 32073 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-04-04 |
| ANNUAL REPORT | 2021-04-17 |
| ANNUAL REPORT | 2020-04-22 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-10 |
| AMENDED ANNUAL REPORT | 2016-12-08 |
| ANNUAL REPORT | 2016-03-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
