| Entity Name: | WOODMONT PHARMACY CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 23 Jul 2004 (21 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P04000109198 |
| FEI/EIN Number | 260092719 |
| Address: | 6331 N. Andrews Ave, Ft. Lauderdale, FL, 33309, US |
| Mail Address: | 6331 N. Andrews Ave, Ft. Lauderdale, FL, 33309, US |
| ZIP code: | 33309 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205982741 | 2007-01-26 | 2013-10-07 | 6331 N ANDREWS AVE, FORT LAUDERDALE, FL, 333092143, US | 6331 N ANDREWS AVE, FORT LAUDERDALE, FL, 333092143, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 754-206-4250 |
| Fax | 7542064254 |
Authorized person
| Name | BARBARA M CHANNER |
| Role | PRESIDENT-PHARMACY MANAGER |
| Phone | 7542064250 |
Taxonomy
| Taxonomy Code | 183500000X - Pharmacist |
| License Number | PS31529 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000587300 |
| State | FL |
| Issuer | MEDICAID DME |
| Number | 000587301 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SMITH ANDRE N | Agent | 6331 N. Andrews Ave, Ft. Lauderdale, FL, 33309 |
| Name | Role | Address |
|---|---|---|
| CHANNER BARBARA M | President | 6331 N. Andrews Ave, Ft. Lauderdale, FL, 33309 |
| Name | Role | Address |
|---|---|---|
| Smith Andre | Vice President | 6331 N. Andrews Ave, Ft. Lauderdale, FL, 33309 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000064924 | A.S.C. PHARMACEUTICALS | EXPIRED | 2015-06-23 | 2020-12-31 | No data | 6331 N. ANDREWS AVE., FT. LAUDERDALE, FL, 33309 |
| G15000058332 | A.S.C. PHARMACEUTICALS | EXPIRED | 2015-06-11 | 2020-12-31 | No data | 6331 N. ANDREWS AVE, FT. LAUDERDALE, FL, 33309 |
| G13000043842 | CYPRESS PHARMACY & MEDICAL SUPPLIES | EXPIRED | 2013-05-07 | 2018-12-31 | No data | 6331 N. ANDREWS AVE, FT. LAUDERDALE, FL, 33309 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-01 | 6331 N. Andrews Ave, Ft. Lauderdale, FL 33309 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-01 | 6331 N. Andrews Ave, Ft. Lauderdale, FL 33309 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-01 | 6331 N. Andrews Ave, Ft. Lauderdale, FL 33309 | No data |
| REINSTATEMENT | 2007-11-12 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2006-07-31 | SMITH, ANDRE N | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J15000395067 | LAPSED | CACE15-933 | 17TH JUDICIAL CIRCUIT, BROWARD | 2015-04-02 | 2020-04-02 | $103,164.65 | BANKUNITED, N.A., 7815 NW 148 STREET, MIAMI LAKES, FL 33016 |
| J14000926096 | LAPSED | 14-03183 | CHESTER COURT OF COMMON PLEAS | 2014-07-10 | 2019-10-23 | $33,568.61 | AMERISOURCEBERGEN DRUG CORPORATION, 1300 MORRIS DRIVE, CHESTERBROOK, PA 19087 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-30 |
| ANNUAL REPORT | 2014-04-01 |
| ANNUAL REPORT | 2013-04-29 |
| ANNUAL REPORT | 2012-02-22 |
| ANNUAL REPORT | 2011-04-04 |
| ANNUAL REPORT | 2010-01-11 |
| ANNUAL REPORT | 2009-03-26 |
| ANNUAL REPORT | 2008-07-08 |
| REINSTATEMENT | 2007-11-12 |
| Reg. Agent Change | 2006-07-31 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
