Entity Name: | CAREPLUS PHARMACY CORP |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 07 Feb 2006 (19 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 28 Oct 2010 (14 years ago) |
Document Number: | P06000019258 |
FEI/EIN Number | 204341816 |
Address: | 3020 S COMBEE RD, LAKELAND, FL, 33803 |
Mail Address: | 3020 S COMBEE RD, LAKELAND, FL, 33803, US |
ZIP code: | 33803 |
County: | Polk |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1679623987 | 2007-01-11 | 2016-11-22 | 3020 S COMBEE RD, LAKELAND, FL, 338037306, US | 3020 S COMBEE RD, LAKELAND, FL, 338037306, US | |||||||||||||||||||||||||||||||||
|
Phone | +1 863-668-8480 |
Fax | 8606688497 |
Authorized person
Name | POLUCARP AGBARA |
Role | OWNER |
Phone | 8636688480 |
Taxonomy
Taxonomy Code | 333600000X - Pharmacy |
Is Primary | No |
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
License Number | PH22276 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 013944900 |
State | FL |
Issuer | PK |
Number | 2008286 |
Name | Role | Address |
---|---|---|
AGBARA POLYCARP | Agent | 3020 S COMBEE RD, LAKELAND, FL, 33803 |
Name | Role | Address |
---|---|---|
AGBARA POLYCARP | President | 3020 S COMBEE RD, LAKELAND, FL, 33803 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G16000072916 | CAREPLUS RX | ACTIVE | 2016-07-22 | 2026-12-31 | No data | 10956 N. 56TH ST., STE 200, TAMPA, FL, 33617 |
G16000072928 | CAREPLUS PHARMACY #001 | EXPIRED | 2016-07-22 | 2021-12-31 | No data | 3020 S COMBEE RD, LAKELAND, FL, 33803 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT ADDRESS CHANGED | 2018-04-30 | 3020 S COMBEE RD, LAKELAND, FL 33803 | No data |
CHANGE OF MAILING ADDRESS | 2015-01-20 | 3020 S COMBEE RD, LAKELAND, FL 33803 | No data |
REINSTATEMENT | 2010-10-28 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2008-04-25 | 3020 S COMBEE RD, LAKELAND, FL 33803 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-29 |
ANNUAL REPORT | 2023-04-20 |
ANNUAL REPORT | 2022-04-29 |
ANNUAL REPORT | 2021-04-14 |
ANNUAL REPORT | 2020-06-30 |
ANNUAL REPORT | 2019-04-16 |
ANNUAL REPORT | 2018-04-30 |
ANNUAL REPORT | 2017-04-28 |
ANNUAL REPORT | 2016-04-21 |
ANNUAL REPORT | 2015-01-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State