| Entity Name: | UNIVERSAL COMPOUNDING PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 19 Aug 2008 (16 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | P08000077277 |
| FEI/EIN Number | 26-3196373 |
| Address: | 2304 ALOMA AVENUE, WINTER PARK, FL 32792 |
| Mail Address: | 2304 ALOMA AVENUE, WINTER PARK, FL 32792 |
| ZIP code: | 32792 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932344918 | 2008-12-05 | 2008-12-05 | 2304 ALOMA AVE, WINTER PARK, FL, 327923330, US | 2304 ALOMA AVE, WINTER PARK, FL, 327923330, US | |||||||||||||||||||||||||||||||
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| Phone | +1 407-673-2222 |
| Fax | 4076731234 |
Authorized person
| Name | NAOMI STONE |
| Role | OWNER |
| Phone | 4076732222 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH23727 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1040384 |
| Name | Role | Address |
|---|---|---|
| STONE, NAOMI | Agent | 2304 ALOMA AVENUE, WINTER PARK, FL 32792 |
| Name | Role | Address |
|---|---|---|
| STONE, NAOMI L | President | 2304 ALOMA AVENUE, WINTER PARK, FL 32792 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-03-23 |
| Domestic Profit | 2008-08-19 |
Date of last update: 26 Jan 2025
Sources: Florida Department of State
