| Entity Name: | EXTRA CARE PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Sep 2004 (20 years ago) |
| Document Number: | P04000127795 |
| FEI/EIN Number | 201636036 |
| Address: | 2001 E. FLETCHER AVENUE, SUITE 101, TAMPA, FL, 33612 |
| Mail Address: | 2001 E. FLETCHER AVENUE, SUITE 101, TAMPA, FL, 33612 |
| ZIP code: | 33612 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144265380 | 2006-06-20 | 2016-11-07 | 2001 E FLETCHER AVE, STE 101, TAMPA, FL, 336123707, US | 2001 E FLETCHER AVE, STE 101, TAMPA, FL, 336123707, US | |||||||||||||||||||||||||||
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| Phone | +1 813-558-9300 |
| Fax | 8135589333 |
Authorized person
| Name | STELLA CHINWUBAH |
| Role | PRESIDENT |
| Phone | 8137852606 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH21807 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2006390 |
| Name | Role | Address |
|---|---|---|
| CHINWUBAH STELLA | Agent | 5116 MAYFAIR PARK COURT, TAMPA, FL, 33647 |
| Name | Role | Address |
|---|---|---|
| CHINWUBAH STELLA | Director | 5116 MAYFAIR PARK COURT, TAMPA, FL, 33647 |
| ANYIKWA THOMAS | Director | 5116 MAYFAIR PARK COURT, TAMPA, FL, 33647 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2006-05-11 | 2001 E. FLETCHER AVENUE, SUITE 101, TAMPA, FL 33612 | No data |
| CHANGE OF MAILING ADDRESS | 2005-12-19 | 2001 E. FLETCHER AVENUE, SUITE 101, TAMPA, FL 33612 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-19 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-03-24 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-07-20 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-04-13 |
| ANNUAL REPORT | 2017-04-29 |
| ANNUAL REPORT | 2016-05-01 |
| ANNUAL REPORT | 2015-04-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
