| Entity Name: | CITY VIEW PHARMACY INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 Aug 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: | P04000115222 |
| FEI/EIN Number | 161704438 |
| Address: | 595 W. CHURCH ST. SUITE H, ORLANDO, FL, 32805 |
| Mail Address: | 595 W. CHURCH ST. SUITE H, ORLANDO, FL, 32805 |
| ZIP code: | 32805 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336160522 | 2006-07-22 | 2009-06-17 | 595 W CHURCH ST STE H, ORLANDO, FL, 328052209, US | 595 W CHURCH ST STE H, ORLANDO, FL, 328052209, US | |||||||||||||||||||||||||||||||
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| Phone | +1 321-206-9426 |
| Fax | 3212440541 |
Authorized person
| Name | MR. BERNARD B AGBELUSI |
| Role | PHARMACIST |
| Phone | 3212069426 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | PH 21004 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP NUMBER |
| Number | 1008956 |
| State | FL |
| Issuer | MEDICAID |
| Number | 028278200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AGBELUSI BERNARD B | Agent | 1890 redwood grove terrace, lake mary, FL, 32765 |
| Name | Role | Address |
|---|---|---|
| AGBELUSI BERNARD B | Director | 1890 redwood grove terrace, OVIEDO, FL, 32765 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REINSTATEMENT | 2015-10-19 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-10-19 | AGBELUSI, BERNARD B | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-10-19 | 1890 redwood grove terrace, lake mary, FL 32765 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CANCEL ADM DISS/REV | 2008-10-23 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000711919 | ACTIVE | 1000000835331 | SEMINOLE | 2019-07-26 | 2034-11-13 | $ 350.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759 |
| Name | Date |
|---|---|
| REINSTATEMENT | 2015-10-19 |
| REINSTATEMENT | 2008-10-23 |
| ANNUAL REPORT | 2007-01-13 |
| ANNUAL REPORT | 2006-07-01 |
| ANNUAL REPORT | 2005-03-24 |
| Domestic Profit | 2004-08-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
