| Entity Name: | MAYO FAMILY PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 19 Jun 2002 (23 years ago) |
| Document Number: | P02000067972 |
| FEI/EIN Number | 010719990 |
| Address: | 294 W. MAIN STREET, SUITE 1, MAYO, FL, 32066, US |
| Mail Address: | P.O. BOX 405, MAYO, FL, 32066, US |
| ZIP code: | 32066 |
| County: | Lafayette |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538187539 | 2006-07-17 | 2007-08-16 | PO BOX 405, MAYO, FL, 32066, US | 294 W MAIN ST, SUITE 1, MAYO, FL, 32066, US | |||||||||||||||||||||||||||
|
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| Phone | +1 386-294-3500 |
| Fax | 3862943482 |
Authorized person
| Name | MR. IRA L RILEY JR. |
| Role | PHARMACY MANAGER OWNER |
| Phone | 3862943500 |
Taxonomy
| Taxonomy Code | 183500000X - Pharmacist |
| License Number | PH18715 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH18715 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| RILEY IRA J | Agent | 344 SW LAKE ST, MAYO, FL, 32066 |
| Name | Role | Address |
|---|---|---|
| BLAKE SHATARA L | Director | 344 SW LAKE ST, MAYO, FL, 32066 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| AMENDMENT | 2006-10-24 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J09002109311 | LAPSED | 8:09-CV-802-T-26TBM | U.S. DIST. MID. DIST. FL | 2009-08-10 | 2014-08-24 | $9,630.40 | CARDINAL HEALTH 110, INC., 7000 CARDINAL PLACE, DUBLIN, OHIO 43017 |
| J09002090685 | LAPSED | 8:09-CV-802-T-26TBM | U.S. DIST. CT. MID. DIST. FL | 2009-07-07 | 2014-08-24 | $136,586.07 | CARDINAL HEALTH 110, INC., 7000 CARDINAL PLACE, DUBLIN, OHIO 43017 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
