| Entity Name: | HUMANITARY PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 16 Mar 2004 (21 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P04000047418 |
| FEI/EIN Number | 200868752 |
| Address: | 4152 SW 74 CT, MIAMI, FL, 33155 |
| Mail Address: | 4152 SW 74 CT, MIAMI, FL, 33155 |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134211444 | 2006-09-28 | 2012-09-11 | 4152 SW 74TH CT, MIAMI, FL, 331554414, US | 4152 SW 74TH CT, MIAMI, FL, 331554414, US | |||||||||||||||||||||||
|
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| Phone | +1 305-263-6773 |
| Fax | 3052636774 |
Authorized person
| Name | FARID LICEA |
| Role | OWNER |
| Phone | 3052636773 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH20034 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | OTHER ID NUMBER |
| Number | 1006914 |
| Name | Role | Address |
|---|---|---|
| LICEA FARID | Agent | 4152 SW 74 CT, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| LICEA FARID | President | 4152 SW 74 CT, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| LICEA FARID | Director | 4152 SW 74 CT, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| LICEA FARID | Secretary | 4152 SW 74 CT, MIAMI, FL, 33155 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| AMENDMENT | 2012-09-06 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2012-09-06 | LICEA, FARID | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-03-29 | 4152 SW 74 CT, MIAMI, FL 33155 | No data |
| CHANGE OF MAILING ADDRESS | 2011-03-29 | 4152 SW 74 CT, MIAMI, FL 33155 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-03-29 | 4152 SW 74 CT, MIAMI, FL 33155 | No data |
| REINSTATEMENT | 2010-10-12 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| AMENDMENT | 2010-05-03 | No data | No data |
| AMENDMENT | 2010-02-17 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-30 |
| ANNUAL REPORT | 2015-04-30 |
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-04-29 |
| Amendment | 2012-09-06 |
| ANNUAL REPORT | 2012-06-22 |
| ANNUAL REPORT | 2012-04-30 |
| ANNUAL REPORT | 2011-03-29 |
| REINSTATEMENT | 2010-10-12 |
| Amendment | 2010-05-03 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
