| Entity Name: | S & S PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 22 Aug 2006 (18 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P06000109587 |
| FEI/EIN Number | 205415818 |
| Address: | 14937 BRUCE B. DOWNS BLVD, SUITE 204, TAMPA, FL, 33613, US |
| Mail Address: | 14937 BRUCE B. DOWNS BLVD, SUITE 204, TAMPA, FL, 33613, US |
| ZIP code: | 33613 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194881599 | 2006-12-29 | 2011-02-24 | 14973 BRUCE B DOWNS BLVD, STE 204, TAMPA, FL, 33613, US | 14973 BRUCE B DOWNS BLVD STE 204, TAMPA, FL, 336132860, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 813-866-5000 |
| Fax | 8138665001 |
Authorized person
| Name | IHAB BARSOUM |
| Role | PRESIDENT AND PHCY MGR |
| Phone | 8137669955 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH22447 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1023984 |
| Name | Role | Address |
|---|---|---|
| BARSOUM IHAB S | Agent | 4813 TANNERY AVE, TAMPA, FL, 33624 |
| Name | Role | Address |
|---|---|---|
| BARSOUM IHAB S | President | 14937 BRUCE B. DOWNS BLVD, TAMPA, FL, 33613 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000100904 | PLATINUM PHARMACY & COMPOUNDING | EXPIRED | 2010-11-03 | 2015-12-31 | No data | 4813 TANNERY AVE, TAMPA, FL, 33624 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-03-16 | 14937 BRUCE B. DOWNS BLVD, SUITE 204, TAMPA, FL 33613 | No data |
| CHANGE OF MAILING ADDRESS | 2011-03-16 | 14937 BRUCE B. DOWNS BLVD, SUITE 204, TAMPA, FL 33613 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-09-25 |
| ANNUAL REPORT | 2012-04-26 |
| ANNUAL REPORT | 2011-03-16 |
| ANNUAL REPORT | 2010-04-21 |
| ANNUAL REPORT | 2009-03-18 |
| ANNUAL REPORT | 2008-05-01 |
| ANNUAL REPORT | 2007-04-26 |
| Domestic Profit | 2006-08-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
