| Entity Name: | SAMZOY PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 03 Apr 2008 (17 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | P08000034797 |
| Address: | 1611 NW 77TH WAY, PEMBROKE PINES, FL, 33024 |
| Mail Address: | 1611 NW 77TH WAY, PEMBROKE PINES, FL, 33024 |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770739799 | 2008-08-11 | 2008-08-11 | 1611 NW 77TH WAY, PEMBROKE PINES, FL, 330245251, US | 1611 NW 77TH WAY, PEMBROKE PINES, FL, 330245251, US | |||||||||||||||||||||||
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| Phone | +1 954-967-9452 |
| Fax | 9549679454 |
Authorized person
| Name | YOLANDA ALVAREZ |
| Role | PHARMACIST |
| Phone | 7866836002 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH23493 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1036791 |
| Name | Role | Address |
|---|---|---|
| ALVAREZ YOLANDA | Agent | 1611 NW 77TH WAY, PEMBROKE PINES, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| ALVAREZ YOLANDA O | Director | 1611 NW 77TH WAY, PEMBROKE PINES, FL, 33024 |
| ALVAREZ PEDRO | Director | 1611 NW 77TH WAY, PEMBROKE PINES, FL, 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2008-04-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
