Entity Name: | ACHI PHARM, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 26 Dec 2006 (18 years ago) |
Date of dissolution: | 12 May 2009 (16 years ago) |
Last Event: | VOLUNTARY DISSOLUTION |
Event Date Filed: | 12 May 2009 (16 years ago) |
Document Number: | P06000156830 |
FEI/EIN Number | 562630418 |
Address: | 301 HAVENDALE BLVD, AUBURNDALE, FL, 33823 |
Mail Address: | 301 HAVENDALE BLVD, AUBURNDALE, FL, 33823 |
ZIP code: | 33823 |
County: | Polk |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1568504496 | 2007-02-14 | 2023-03-07 | 306 RUBY LAKE LOOP, WINTER HAVEN, FL, 338843269, US | 301 HAVENDALE BLVD, AUBURNDALE, FL, 338234513, US | |||||||||||||||||||||||||||
|
Phone | +1 863-224-7234 |
Phone | +1 863-967-3632 |
Fax | 8639678469 |
Authorized person
Name | DR. YAHAYA FIDELIS ABUH |
Role | PHARMACY MANAGER |
Phone | 8632247234 |
Taxonomy
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
License Number | PH22593 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | NCPDP # |
Number | 1026815 |
State | FL |
Name | Role | Address |
---|---|---|
ABUH YAHAYA F | Agent | 306 RUBY LAKE LOOP, WINTER HAVEN, FL, 33884 |
Name | Role | Address |
---|---|---|
ABUH YAHAYA F | President | 306 RUBY LAKE LOOP, WINTER HAVEN, FL, 33884 |
Name | Role | Address |
---|---|---|
ABUH YAHAYA F | Secretary | 306 RUBY LAKE LOOP, WINTER HAVEN, FL, 33884 |
Name | Role | Address |
---|---|---|
ABUH YAHAYA F | Director | 306 RUBY LAKE LOOP, WINTER HAVEN, FL, 33884 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2009-05-12 | No data | No data |
Name | Date |
---|---|
Voluntary Dissolution | 2009-05-12 |
ANNUAL REPORT | 2008-03-09 |
ANNUAL REPORT | 2007-07-08 |
Domestic Profit | 2006-12-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State