| Entity Name: | WEST ATLANTIC PHARMACY INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 17 Jun 2008 (17 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 01 Apr 2019 (6 years ago) |
| Document Number: | P08000058737 |
| FEI/EIN Number | 26-2796918 |
| Address: | 7495 WEST ATLANTIC AVE, 206, DELRAY BEACH, FL, 33446 |
| Mail Address: | 7495 WEST ATLANTIC AVE, 206, DELRAY BEACH, FL, 33446 |
| ZIP code: | 33446 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | WEST ATLANTIC PHARMACY INC., ALABAMA | 000-367-086 | ALABAMA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841440682 | 2008-09-30 | 2019-04-17 | 7495 W ATLANTIC AVE, STE 206, DELRAY BEACH, FL, 334461393, US | 7495 W ATLANTIC AVE, STE 206, DELRAY BEACH, FL, 334461393, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-496-0338 |
| Fax | 5614960832 |
Authorized person
| Name | AMIRA (AMY) MELIKA-SHAKER |
| Role | OWNER/PIC |
| Phone | 5614960338 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | 0214001608 |
| State | VA |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH23548 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000641500 |
| State | FL |
| Issuer | PK |
| Number | 2117115 |
| Name | Role | Address |
|---|---|---|
| MELIKA AMIRA | Agent | 7495 w atlantic ave, delray beach, FL, 33446 |
| Name | Role | Address |
|---|---|---|
| MELIKA AMIRA | President | 7495 W ATLANTIC AVE STE 206, DELRAY BEACH, FL, 33446 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-16 | 7495 w atlantic ave, ste 206, delray beach, FL 33446 | No data |
| AMENDMENT | 2019-04-01 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-01 | MELIKA, AMIRA | No data |
| CHANGE OF MAILING ADDRESS | 2009-05-05 | 7495 WEST ATLANTIC AVE, 206, DELRAY BEACH, FL 33446 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-16 |
| ANNUAL REPORT | 2023-04-08 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-12 |
| Amendment | 2019-04-01 |
| ANNUAL REPORT | 2018-03-02 |
| AMENDED ANNUAL REPORT | 2017-12-19 |
| ANNUAL REPORT | 2017-04-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
