| Entity Name: | TEQUESTA DRUGS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 Mar 2005 (20 years ago) |
| Document Number: | P05000036331 |
| FEI/EIN Number | 753186773 |
| Address: | 1 MAIN STREET, #107, TEQUESTA, FL, 33469 |
| Mail Address: | 1 MAIN STREET, #107, TEQUESTA, FL, 33469 |
| ZIP code: | 33469 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972680486 | 2006-11-01 | 2015-03-25 | ONE MAIN ST, #107, TEQUESTA, FL, 33469, US | ONE MAIN ST, #107, TEQUESTA, FL, 33469, US | |||||||||||||||||||||||||||||
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| Phone | +1 561-741-8222 |
| Fax | 5617418220 |
Authorized person
| Name | MR. DANIEL S BRUMER |
| Role | PHARMACIST OWNER |
| Phone | 5617418222 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH21708 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 031679200 |
| State | FL |
| Issuer | NCPDP |
| Number | 1016218 |
| Name | Role | Address |
|---|---|---|
| KAHAN, SHIR & ASSOCIATES, P.L. | Agent | 2300 NW Corporate Blvd, BOCA RATON, FL, 33431 |
| Name | Role | Address |
|---|---|---|
| BRUMER DANIEL | President | 178 RIDGE RD., JUPITER, FL, 33477 |
| Name | Role | Address |
|---|---|---|
| BRUMER DANIEL | Secretary | 178 RIDGE RD., JUPITER, FL, 33477 |
| Name | Role | Address |
|---|---|---|
| BRUMER ELIZABETH | Vice President | 178 RIDGE RD., JUPITER, FL, 33477 |
| Name | Role | Address |
|---|---|---|
| BRUMER ELIZABETH | Treasurer | 178 RIDGE RD., JUPITER, FL, 33477 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G05070900123 | TEQUESTA DRUGS | ACTIVE | 2005-03-11 | 2025-12-31 | No data | 178 RIDGE RD, JUPITER, FL, 33477 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-26 | 2300 NW Corporate Blvd, Suite 123, BOCA RATON, FL 33431 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-01-17 | 1 MAIN STREET, #107, TEQUESTA, FL 33469 | No data |
| CHANGE OF MAILING ADDRESS | 2008-01-17 | 1 MAIN STREET, #107, TEQUESTA, FL 33469 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-19 |
| ANNUAL REPORT | 2024-03-03 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-03-14 |
| ANNUAL REPORT | 2020-01-31 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-04-19 |
| ANNUAL REPORT | 2017-01-05 |
| ANNUAL REPORT | 2016-01-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
