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  5. PINES DISCOUNT PHARMACY, INC.

PINES DISCOUNT PHARMACY, INC. - Florida Company Profile

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Company Details

Entity Name: PINES DISCOUNT PHARMACY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 24 Aug 2004 (21 years ago)
Date of dissolution: 27 Sep 2024 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (a year ago)
Document Number: P04000122102
FEI/EIN Number 201546345
Address: 2020 KINGSLEY AVE, ORANGE PARK, FL, 32073, US
Mail Address: 2020 KINGSLEY AVE, ORANGE PARK, FL, 32073, US
ZIP code: 32073
City: Orange Park
County: Clay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DALY JESSICA President 2020 KINGSLEY AVE, ORANGE PARK, FL, 32073
DALY JESSICA Agent 2020 KINGSLEY AVE, ORANGE PARK, FL, 32073

National Provider Identifier

NPI Number:
1265934723
Link:
View on NPI website

Authorized Person:

Name:
ADEKUNLE ADIMULA
Role:
PRESIDENT
Phone:
9544374900

Taxonomy:

Selected Taxonomy:
3336L0003X - Long Term Care Pharmacy
Is Primary:
Yes

Contacts:

Phone:
+1 954-437-4900
Fax:
9544374504

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000111587 KINGSLEY PHARMACY ACTIVE 2021-08-29 2026-12-31 - 2020 KINGSLEY AVE, ORANGE PARK, FL, 32073

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 - -
CHANGE OF PRINCIPAL ADDRESS 2021-10-07 2020 KINGSLEY AVE, SUITE 2B, ORANGE PARK, FL 32073 -
CHANGE OF MAILING ADDRESS 2021-10-07 2020 KINGSLEY AVE, SUITE 2B, ORANGE PARK, FL 32073 -
REGISTERED AGENT NAME CHANGED 2021-09-24 DALY, JESSICA -
REGISTERED AGENT ADDRESS CHANGED 2021-09-24 2020 KINGSLEY AVE, SUITE 2A, ORANGE PARK, FL 32073 -
AMENDMENT 2021-01-25 - -

Documents

Name Date
ANNUAL REPORT 2023-03-06
ANNUAL REPORT 2022-04-11
AMENDED ANNUAL REPORT 2021-10-12
Reg. Agent Change 2021-09-24
Off/Dir Resignation 2021-09-24
Reg. Agent Resignation 2021-09-24
ANNUAL REPORT 2021-03-29
Amendment 2021-01-25
ANNUAL REPORT 2020-06-16
ANNUAL REPORT 2019-03-22

USAspending Awards / Financial Assistance

Date:
2021-03-16
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
67910.00
Total Face Value Of Loan:
67910.00
Date:
2020-07-13
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
96200.00
Total Face Value Of Loan:
96200.00
Date:
2020-04-15
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
72680.00
Total Face Value Of Loan:
72680.00
Date:
2020-04-15
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
72680.00
Total Face Value Of Loan:
72680.00
Date:
2014-03-24
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
100000.00
Total Face Value Of Loan:
100000.00

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$67,910
Date Approved:
2021-03-16
Loan Status:
Charged Off
SBA Guaranty Percentage:
100
Current Approval Amount:
$67,910
Race:
Black or African American
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Servicing Lender:
Banesco USA
Use of Proceeds:
Payroll: $67,909
Utilities: $1
Jobs Reported:
6
Initial Approval Amount:
$72,680
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$72,680
Race:
Black or African American
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$73,324.03
Servicing Lender:
Banesco USA
Use of Proceeds:
Payroll: $54,510
Utilities: $18,170

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PHARMHUB RX, LLC
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PHARMHUB RX, LLC, which currently Inactive, had registered address 2020 KINGSLEY AVE, ORANGE PARK, FL, 32073, US.
IZZY BENJAMINS BILLING AND COLLECTIONS, LLC
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IZZY BENJAMINS BILLING AND COLLECTIONS, LLC, which currently Active, has registered address 2020 KINGSLEY AVE, ORANGE PARK, FL, 32073, US.

Date of last update: 01 Aug 2025

Sources: Florida Department of State

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