| Entity Name: | STA. AMALIA PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 15 Sep 2005 (19 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | P05000127327 |
| FEI/EIN Number | 20-3503483 |
| Address: | 2170 NW 7 STREET, MIAMI, FL 33125 |
| Mail Address: | 2170 NW 7 STREET, MIAMI, FL 33125 |
| ZIP code: | 33125 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740223593 | 2006-06-13 | 2023-03-07 | 2170 NW 7TH ST, MIAMI, FL, 331253425, US | 2170 NW 7TH ST, MIAMI, FL, 331253425, US | |||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 305-631-8330 |
| Fax | 3056318723 |
Authorized person
| Name | ANTONIO M PEREZ |
| Role | PRESIDENT |
| Phone | 3056318330 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH21675 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | OTHER ID NUMBER-COMMERCIAL NUMBER |
| Number | 1016307 |
| Issuer | NCPDP |
| Number | 1016307 |
| State | FL |
| Issuer | STATE LICENSE |
| Number | PH21675 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PEREZ, ANTONIO M | Agent | 2170 NW 7 ST., MIAMI, FL 33125 |
| Name | Role | Address |
|---|---|---|
| PEREZ, ANTONIO M | President | 2170 NW 7 ST., MIAMI, FL 33125 |
| Name | Role | Address |
|---|---|---|
| PEREZ, ANTONIO M | Secretary | 2170 NW 7 ST., MIAMI, FL 33125 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-01-18 | 2170 NW 7 STREET, MIAMI, FL 33125 | No data |
| CHANGE OF MAILING ADDRESS | 2006-01-18 | 2170 NW 7 STREET, MIAMI, FL 33125 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-01-18 | 2170 NW 7 ST., MIAMI, FL 33125 | No data |
| AMENDMENT | 2005-09-26 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2005-09-26 | PEREZ, ANTONIO M | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-01-03 |
| ANNUAL REPORT | 2007-01-17 |
| ANNUAL REPORT | 2006-01-18 |
| Amendment | 2005-09-26 |
| Domestic Profit | 2005-09-15 |
Date of last update: 28 Jan 2025
Sources: Florida Department of State
