| Entity Name: | SOUTH PHARMACY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 10 Nov 2005 (19 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | P05000150794 |
| FEI/EIN Number | 205386458 |
| Address: | 4315 NW 7 ST # 20, MIAMI, FL, 33126 |
| Mail Address: | 4315 NW 7 ST # 20, MIAMI, FL, 33126 |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609964907 | 2006-10-11 | 2010-11-19 | 4315 NW 7TH ST STE 20, MIAMI, FL, 331263562, US | 4315 NW 7TH ST STE 20, MIAMI, FL, 331263562, US | |||||||||||||||||||||
|
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| Phone | +1 305-448-6300 |
| Fax | 3054486301 |
Authorized person
| Name | RUBEN ESCAMILLA |
| Role | PRESIDENT |
| Phone | 3054486300 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 032093500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ESCAMILLA RUBEN M | Agent | 13981 SW 112TH ST., MIAMI, FL, 33186 |
| Name | Role | Address |
|---|---|---|
| ESCAMILLA RUBEN M | President | 13981 SW 112TH ST., MIAMI, FL, 33186 |
| Name | Role | Address |
|---|---|---|
| ESCAMILLA RUBEN M | Director | 13981 SW 112TH ST., MIAMI, FL, 33186 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-11-19 | 4315 NW 7 ST # 20, MIAMI, FL 33126 | No data |
| CHANGE OF MAILING ADDRESS | 2010-11-19 | 4315 NW 7 ST # 20, MIAMI, FL 33126 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J09002093853 | LAPSED | 09-37684 CA 01 | MIAMI DADE CTY CIR CT | 2009-07-29 | 2014-08-03 | $21,113.03 | BELLCO DRUG CORP, C/O THEODORE R. BAYER, 9400 S. DADELAND BLVD, SUITE 300, MIAMI, FL 33156 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-11-19 |
| ANNUAL REPORT | 2010-04-29 |
| ANNUAL REPORT | 2009-10-14 |
| ANNUAL REPORT | 2009-09-28 |
| ANNUAL REPORT | 2009-04-30 |
| ANNUAL REPORT | 2008-04-30 |
| ANNUAL REPORT | 2007-04-16 |
| ANNUAL REPORT | 2006-09-20 |
| Domestic Profit | 2005-11-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
