| Entity Name: | PHARMCORE INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 17 Oct 2002 (22 years ago) |
| Document Number: | P02000112228 |
| FEI/EIN Number | 371446422 |
| Address: | 2666 S.W, 36 Street, Building A, Dania Beach, FL, 33312, US |
| Mail Address: | 2666 S.W, 36 Street, Building A, Dania Beach, FL, 33312, US |
| ZIP code: | 33312 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | PHARMCORE INC., ALASKA | 10285912 | ALASKA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902847866 | 2006-06-09 | 2013-09-13 | 1109 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL, 330094431, US | 1109 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL, 330094431, US | |||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 877-540-4748 |
| Fax | 8017164824 |
| Phone | +1 954-455-3822 |
| Fax | 9544553835 |
Authorized person
| Name | GENNADY KRUPNIKAS |
| Role | PRESIDENT |
| Phone | 9544553822 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH19163 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2015453 |
| Issuer | MEDICAID |
| Number | 026012600 |
| State | FL |
| Issuer | MEDICAID |
| Number | 026012601 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RABBANI DAVID | Agent | 2666 S.W, 36 Street, Dania Beach, FL, 33312 |
| Name | Role | Address |
|---|---|---|
| RABBANI DAVID | President | 2666 S.W, 36 Street, Dania Beach, FL, 33312 |
| Name | Role | Address |
|---|---|---|
| RABBANI DAVID | Director | 2666 S.W, 36 Street, Dania Beach, FL, 33312 |
| Name | Role | Address |
|---|---|---|
| Maman Jessica | Secretary | 2666 S.W, 36 Street, Dania Beach, FL, 33312 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-08 | 2666 S.W, 36 Street, Building A, Dania Beach, FL 33312 | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-08 | 2666 S.W, 36 Street, Building A, Dania Beach, FL 33312 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-08 | 2666 S.W, 36 Street, Building A, Dania Beach, FL 33312 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-04-21 | RABBANI, DAVID | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-01-25 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-04-08 |
| Off/Dir Resignation | 2017-05-19 |
| ANNUAL REPORT | 2017-02-06 |
| ANNUAL REPORT | 2016-04-20 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
