| Entity Name: | JERRY PHARMACY & MEDICAL SUPPLY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 07 Dec 2006 (18 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | P06000151110 |
| FEI/EIN Number | 20-8018758 |
| Address: | 8200 WEST 33 AVE BAY 12, HIALEAH, FL 33018 |
| Mail Address: | 8200 WEST 33 AVE BAY 12, HIALEAH, FL 33018 |
| ZIP code: | 33018 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821213133 | 2007-04-13 | 2008-02-26 | 3855 SW 137TH AVE, 13, MIAMI, FL, 331758820, US | 3855 SW 137TH AVE, 13, MIAMI, FL, 331758820, US | |||||||||||||||||||||||
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| Phone | +1 305-225-5007 |
| Fax | 3052255008 |
Authorized person
| Name | JULIO BRUNET |
| Role | PRESIDENT |
| Phone | 3052255007 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH22524 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | OTHER ID NUMBER |
| Number | 1032628 |
| Name | Role | Address |
|---|---|---|
| BRUNET, JULIO | Agent | 8200 WEST 33 AVE BAY 12, HIALEAH, FL 33018 |
| Name | Role | Address |
|---|---|---|
| BRUNET, JULIO | President | 8200 WEST 33 AVE BAY 12, HIALEAH, FL 33018 |
| Name | Role | Address |
|---|---|---|
| CIDRE, LOURDES | Vice President | 8200 WEST 33 AVE BAY 12, HIALEAH, FL 33018 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-01-26 | 8200 WEST 33 AVE BAY 12, HIALEAH, FL 33018 | No data |
| CHANGE OF MAILING ADDRESS | 2009-01-26 | 8200 WEST 33 AVE BAY 12, HIALEAH, FL 33018 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-01-26 | 8200 WEST 33 AVE BAY 12, HIALEAH, FL 33018 | No data |
| AMENDMENT | 2007-10-29 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-01-26 |
| ANNUAL REPORT | 2008-04-11 |
| Amendment | 2007-10-29 |
| ANNUAL REPORT | 2007-07-17 |
| Domestic Profit | 2006-12-07 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
