| Entity Name: | G & H PHARMACY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 28 Jun 2004 (21 years ago) |
| Document Number: | P04000097910 |
| FEI/EIN Number | 201345961 |
| Address: | 8091 66TH STREET NORTH, PINELLAS PARK, FL, 33781 |
| Mail Address: | 411 VENTURE DRIVE, OLDSMAR, FL, 34677 |
| ZIP code: | 33781 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962506147 | 2006-09-11 | 2024-03-11 | 8091 66TH ST N, PINELLAS PARK, FL, 337812108, US | 8091 66TH ST N, PINELLAS PARK, FL, 337812108, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 727-209-9999 |
| Fax | 7272099977 |
Authorized person
| Name | MISS KATHERINE EBERE MKPARU |
| Role | OWNER |
| Phone | 7272099999 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 028483100 |
| State | FL |
| Issuer | NCPDP |
| Number | 1011559 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| EZIKE-MKPARU UDODINMA | Agent | 411 VENTURA DR, OLDSMAR, FL, 34677 |
| Name | Role | Address |
|---|---|---|
| MKPARU KATHERINE E | Director | 411 VENTURE DRIVE, OLDSMAR, FL, 34677 |
| EZIKE-MKPARU UDODINMA | Director | 411 VENTURE DRIVE, OLDSMAR, FL, 34677 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2018-05-01 | EZIKE-MKPARU, UDODINMA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-05-01 | 411 VENTURA DR, OLDSMAR, FL 34677 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-24 | 8091 66TH STREET NORTH, PINELLAS PARK, FL 33781 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-08 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-02-07 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-06-12 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
