| Entity Name: | COLLIER PHARMACEUTICAL SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 03 Dec 2004 (20 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P04000164917 |
| FEI/EIN Number | 202161227 |
| Mail Address: | 3260 SUNDANCE CIRCLE, NAPLES, FL, 34109, US |
| Address: | 700 2ND AVENUE, NAPLES, FL, 34102 |
| ZIP code: | 34102 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437214863 | 2006-12-26 | 2012-08-29 | 700 2ND AVE N, SUITE 101, NAPLES, FL, 341025756, US | 700 2ND AVE N, SUITE 101, NAPLES, FL, 341025756, US | |||||||||||||||||||||||||||
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| Phone | +1 239-263-4490 |
| Fax | 2392634590 |
Authorized person
| Name | STEVE MISIR |
| Role | OWNER |
| Phone | 2392634490 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH21120 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1065401 |
| Name | Role | Address |
|---|---|---|
| MISIR SHIVSANKAR M | Agent | 700 2ND AVE N, NAPLES, FL, 34102 |
| Name | Role | Address |
|---|---|---|
| MISIR SHIVSANKAR | President | 3260 SUNDANCE CIRCLE, NAPLES, FL, 34109 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-02-01 | 700 2ND AVENUE, NAPLES, FL 34102 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2016-03-03 | 700 2ND AVENUE, NAPLES, FL 34102 | No data |
| AMENDMENT | 2012-08-30 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2010-04-22 | MISIR, SHIVSANKAR M | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-04-30 | 700 2ND AVE N, STE 101, NAPLES, FL 34102 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-27 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-03-03 |
| ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-04-29 |
| Amendment | 2012-08-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
