Search icon

PREMIUM PHARMACY, INC.

Company Details

Entity Name: PREMIUM PHARMACY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 13 Jun 2007 (18 years ago)
Document Number: P07000069096
FEI/EIN Number 260348061
Address: 8901 SW 157TH AVE, SUITE 3, MIAMI, FL, 33196
Mail Address: 8901 SW 157TH AVE, SUITE 3, MIAMI, FL, 33196
ZIP code: 33196
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578728895 2008-07-25 2011-10-07 8901 SW 157TH AVE, STE 3, MIAMI, FL, 331961102, US 8901 SW 157TH AVE, STE 3, MIAMI, FL, 331961102, US

Contacts

Phone +1 305-385-2900
Fax 3053852999

Authorized person

Name MRS. YUDITH FERNANDEZ
Role OWNER
Phone 3053852900

Taxonomy

Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number PH23505
State FL
Is Primary Yes

Other Provider Identifiers

Issuer NCPDP PROVIDER IDENTIFICATION NUMBER
Number 1036854

Agent

Name Role Address
FERNANDEZ YUDITH Agent 14405 SW 45TH TERRACE, MIAMI, FL, 33175

President

Name Role Address
FERNANDEZ YUDITH President 14405 SW 45TH TERRACE, MIAMI, FL, 33175

Vice President

Name Role Address
Sole Salvador Sr. Vice President 8901 SW 157TH AVE, MIAMI, FL, 33196

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2008-04-08 8901 SW 157TH AVE, SUITE 3, MIAMI, FL 33196 No data
CHANGE OF MAILING ADDRESS 2008-04-08 8901 SW 157TH AVE, SUITE 3, MIAMI, FL 33196 No data

Documents

Name Date
ANNUAL REPORT 2024-02-01
ANNUAL REPORT 2023-02-15
ANNUAL REPORT 2022-03-08
ANNUAL REPORT 2021-04-20
ANNUAL REPORT 2020-03-18
ANNUAL REPORT 2019-03-29
ANNUAL REPORT 2018-03-22
ANNUAL REPORT 2017-04-04
ANNUAL REPORT 2016-03-09
ANNUAL REPORT 2015-02-11

Date of last update: 02 Jan 2025

Sources: Florida Department of State