| Entity Name: | CENTRA RX, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 17 Sep 2003 (21 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: | P03000101961 |
| FEI/EIN Number | 743105556 |
| Address: | 1326 SOUTH PINE AVE, 100, OCALA, FL, 34471 |
| Mail Address: | 1326 SOUTH PINE AVE, 100, OCALA, FL, 34471 |
| ZIP code: | 34471 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598878985 | 2006-08-17 | 2013-06-12 | PO BOX 10623, TALLAHASSEE, FL, 323022623, US | 1326 S PINE AVE, OCALA, FL, 344716542, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 352-629-8080 |
| Fax | 3526292121 |
Authorized person
| Name | JOHN COSTA |
| Role | PRESIDENT |
| Phone | 3526298080 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PH19659 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2006501 |
| Issuer | MEDICAID |
| Number | 026537300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| COSTA JOHANNA | Agent | 1326 SOUTH PINE AVE, OCALA, FL, 34471 |
| Name | Role | Address |
|---|---|---|
| COSTA JOHANNA | President | 1326 SOUTH PINE AVE, OCALA, FL, 34471 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-03-29 | 1326 SOUTH PINE AVE, 100, OCALA, FL 34471 | No data |
| CHANGE OF MAILING ADDRESS | 2010-03-29 | 1326 SOUTH PINE AVE, 100, OCALA, FL 34471 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-04-28 | COSTA, JOHANNA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-03-24 | 1326 SOUTH PINE AVE, OCALA, FL 34471 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-01-13 |
| ANNUAL REPORT | 2013-01-28 |
| ANNUAL REPORT | 2012-03-13 |
| ANNUAL REPORT | 2011-04-01 |
| Off/Dir Resignation | 2010-09-23 |
| ANNUAL REPORT | 2010-03-29 |
| ANNUAL REPORT | 2009-04-28 |
| ANNUAL REPORT | 2008-03-24 |
| ANNUAL REPORT | 2007-03-29 |
| ANNUAL REPORT | 2006-03-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
