| Entity Name: | MED-SOURCE PHARMACY SERVICES CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 05 Feb 2008 (17 years ago) |
| Document Number: | P08000013094 |
| FEI/EIN Number | 261921432 |
| Address: | 515 SW 17 AVENUE, MIAMI, FL, 33135, US |
| Mail Address: | 515 SW 17 AVENUE, MIAMI, FL, 33135, US |
| ZIP code: | 33135 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912145582 | 2009-02-04 | 2024-10-23 | 515 SW 17TH AVE STE 1, MIAMI, FL, 331353878, US | 515 SW 17TH AVE STE 1, MIAMI, FL, 331353878, US | |||||||||||||||||||||||||||
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| Phone | +1 305-854-7377 |
| Fax | 3058547327 |
Authorized person
| Name | MR. DALLAS LONARDO |
| Role | PRESIDENT |
| Phone | 3058547377 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH 23666 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PH23665 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| LONARDO DALLAS | Agent | 515 SW 17 AVENUE, MIAMI, FL, 33135 |
| Name | Role | Address |
|---|---|---|
| LONARDO DALLAS | President | 515 SW 17 AVENUE, MIAMI, FL, 33135 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000120735 | MED-SOURCE PHARMACY | ACTIVE | 2024-09-26 | 2029-12-31 | No data | 515 SW 17 AVENUE, SUITE 1, MIAMI, FL, 33135 |
| G18000027309 | MED-SOURCE PHARMACY CORP | EXPIRED | 2018-02-25 | 2023-12-31 | No data | 1001 SW 22 ST, MIAMI, FL, 33129 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-01 | 515 SW 17 AVENUE, Suite #1, MIAMI, FL 33135 | No data |
| CHANGE OF MAILING ADDRESS | 2024-08-01 | 515 SW 17 AVENUE, Suite #1, MIAMI, FL 33135 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-08-01 | LONARDO, DALLAS | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-08-01 | 515 SW 17 AVENUE, Suite #1, MIAMI, FL 33135 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-08-01 |
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-04-04 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-04-18 |
| ANNUAL REPORT | 2017-03-06 |
| ANNUAL REPORT | 2016-04-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
