| Entity Name: | EASTSIDE PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 05 Dec 2005 (19 years ago) |
| Date of dissolution: | 15 Sep 2006 (18 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 15 Sep 2006 (18 years ago) |
| Document Number: | P05000158887 |
| Address: | 818 A. PHILLIP RANDOLPH BLVD, JACKSONVILLE, FL 32206 |
| Mail Address: | 818 A. PHILLIP RANDOLPH BLVD, JACKSONVILLE, FL 32206 |
| ZIP code: | 32206 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285679712 | 2006-06-18 | 2020-08-22 | 818 A PHILIP RANDOLPH BLVD, JACKSONVILLE, FL, 322065776, US | 818 A PHILIP RANDOLPH BLVD, JACKSONVILLE, FL, 322065776, US | |||||||||||||||||||||||||||
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| Phone | +1 904-353-8500 |
| Fax | 4259692376 |
Authorized person
| Name | TOMMY MCCALL |
| Role | MANAGER |
| Phone | 8505451184 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH21752 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | OTHER ID NUMBER-COMMERCIAL NUMBER |
| Number | 1016698 |
| Name | Role | Address |
|---|---|---|
| MCCALL, TOMMY | Agent | 5423 MARSALA LANE, JACKSONVILLE, FL 32244 |
| Name | Role | Address |
|---|---|---|
| PEOPLES, JOHN | President | 4075 BROAD CREEK LANE, JACKSONVILLE, FL 32218 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| AMENDMENT | 2006-02-28 | No data | No data |
| Name | Date |
|---|---|
| Amendment | 2006-02-28 |
| Domestic Profit | 2005-12-05 |
Date of last update: 28 Jan 2025
Sources: Florida Department of State
