Entity Name: | MCGAW RX, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 14 Nov 2003 (21 years ago) |
Date of dissolution: | 26 Sep 2014 (10 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 26 Sep 2014 (10 years ago) |
Document Number: | P03000132257 |
FEI/EIN Number | 550851911 |
Address: | 2652 SANDICREST DRIVE, CANTONMENT, FL, 32533 |
Mail Address: | 2652 SANDICREST DRIVE, CANTONMENT, FL, 32533 |
ZIP code: | 32533 |
County: | Escambia |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1275530180 | 2005-07-07 | 2023-03-07 | 5326 STEWART ST, MILTON, FL, 325704736, US | 5326 STEWART ST, MILTON, FL, 325704736, US | |||||||||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 850-623-3211 |
Fax | 8506232353 |
Authorized person
Name | DR. PAMELA J MCGAW |
Role | PRESIDENT |
Phone | 8506233211 |
Taxonomy
Taxonomy Code | 333600000X - Pharmacy |
License Number | 19927 |
State | FL |
Is Primary | No |
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | NCPDP # |
Number | 1060021 |
State | FL |
Issuer | MEDICAID |
Number | 100200082 |
State | AL |
Issuer | MEDICAID |
Number | 0266540001 |
State | FL |
Issuer | MEDICAID |
Number | 026654000 |
State | FL |
Name | Role | Address |
---|---|---|
MCGAW PAMELA J | Agent | 2652 SANDICREST DRIVE, CANTONMENT, FL, 32533 |
Name | Role | Address |
---|---|---|
MCGAW PAMELA J | Director | 2652 SANDICREST DRIVE, CANTONMENT, FL, 32533 |
Name | Role | Address |
---|---|---|
MCGAW CHARLES D | Manager | 2652 SANDICREST DRIVE, CANTONMENT, FL, 32533 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2012-02-27 | 2652 SANDICREST DRIVE, CANTONMENT, FL 32533 | No data |
CHANGE OF MAILING ADDRESS | 2012-02-27 | 2652 SANDICREST DRIVE, CANTONMENT, FL 32533 | No data |
REGISTERED AGENT NAME CHANGED | 2005-01-05 | MCGAW, PAMELA JPRESIDE | No data |
REGISTERED AGENT ADDRESS CHANGED | 2004-04-01 | 2652 SANDICREST DRIVE, CANTONMENT, FL 32533 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2013-02-19 |
ANNUAL REPORT | 2012-02-27 |
ANNUAL REPORT | 2011-01-06 |
ANNUAL REPORT | 2010-01-07 |
ANNUAL REPORT | 2009-01-05 |
ANNUAL REPORT | 2008-01-07 |
ANNUAL REPORT | 2007-02-19 |
ANNUAL REPORT | 2006-07-03 |
ANNUAL REPORT | 2005-01-05 |
ANNUAL REPORT | 2004-04-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State