| Entity Name: | ROYAL RX PHARMACY INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 24 Mar 2004 (21 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | P04000052309 |
| FEI/EIN Number | 134277938 |
| Address: | 4941 E. BUSCH BLVD.,, TAMPA, FL, 33617, US |
| Mail Address: | 600 34TH ST. SOUTH, ST. PETE, FL, 33711, US |
| ZIP code: | 33617 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154429181 | 2006-09-21 | 2017-09-26 | 4941 E BUSCH BLVD, STE 240, TAMPA, FL, 336176056, US | 4941 E BUSCH BLVD, STE 240, TAMPA, FL, 336176056, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 813-980-6334 |
| Fax | 8139806338 |
Authorized person
| Name | RAENEISSA DIAZ |
| Role | PHARMACY MANAGER |
| Phone | 8139806334 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH20046 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336M0002X - Mail Order Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2008586 |
| Issuer | MEDICAID |
| Number | 026883600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KYLES WALTER | Agent | 600 34TH ST. SOUTH, ST. PETE, FL, 33711 |
| Name | Role | Address |
|---|---|---|
| KYLES WALTER | President | 600 34TH ST. SOUTH, ST. PETE, FL, 33711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-06-29 | 4941 E. BUSCH BLVD.,, SUITE 240, TAMPA, FL 33617 | No data |
| AMENDMENT | 2016-10-20 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2016-10-20 | 4941 E. BUSCH BLVD.,, SUITE 240, TAMPA, FL 33617 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-10-20 | KYLES, WALTER | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-10-20 | 600 34TH ST. SOUTH, ST. PETE, FL 33711 | No data |
| AMENDMENT | 2016-07-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-07-01 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-07-31 |
| ANNUAL REPORT | 2017-05-01 |
| Amendment | 2016-10-20 |
| Amendment | 2016-07-19 |
| ANNUAL REPORT | 2016-04-30 |
| ANNUAL REPORT | 2015-02-25 |
| ANNUAL REPORT | 2014-04-18 |
| ANNUAL REPORT | 2013-04-22 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
