| Entity Name: | NORTH FLORIDA PHARMACY OF KEYSTONE HEIGHTS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
NORTH FLORIDA PHARMACY OF KEYSTONE HEIGHTS, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 11 Oct 2006 (19 years ago) |
| Document Number: | P06000129760 |
| FEI/EIN Number |
205676670
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1756 SW BARNETT WAY, LAKE CITY, FL, 32025, US |
| Mail Address: | 1756 SW BARNETT WAY, LAKE CITY, FL, 32025, US |
| ZIP code: | 32025 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568525186 | 2006-12-18 | 2015-10-16 | 405 S LAWRENCE BLVD, KEYSTONE HEIGHTS, FL, 326569222, US | 405 S LAWRENCE BLVD, KEYSTONE HEIGHTS, FL, 326569222, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 352-478-2057 |
| Fax | 3524782059 |
Authorized person
| Name | JAMES AUTRY |
| Role | PHARMACY MANAGER |
| Phone | 3524782057 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH22412 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 031978300 |
| State | FL |
| Issuer | MEDICAID |
| Number | 031978301 |
| State | FL |
| Issuer | PK |
| Number | 2008196 |
| Name | Role | Address |
|---|---|---|
| TORRANS ALFRED W | President | 1756 SW BARNETT WAY, LAKE CITY, FL, 32025 |
| SANFORD ALYSSA W | Vice President | 658 NW 171 ST, STARKE, FL, 32091 |
| TORRANS ALFRED W | Agent | 1756 SW BARNETT WAY, LAKE CITY, FL, 32025 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-14 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-02-08 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-04-05 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-04-18 |
| ANNUAL REPORT | 2017-04-19 |
| ANNUAL REPORT | 2016-04-16 |
| ANNUAL REPORT | 2015-04-16 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3593407103 | 2020-04-11 | 0491 | PPP | 1756 SW Barnett Way, Lake City, FL, 32025-6953 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
