| Entity Name: | LAKELAND CITY PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
LAKELAND CITY PHARMACY, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 02 Sep 2008 (17 years ago) |
| Document Number: | P08000080587 |
| FEI/EIN Number |
263269574
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 106 E. BLUE HERON BLVD., RIVIERA BEACH, FL, 33404, US |
| Mail Address: | P. O. BOX 17175, TAMPA, FL, 33682, US |
| ZIP code: | 33404 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912146507 | 2009-02-05 | 2022-06-15 | PO BOX 17175, TAMPA, FL, 336827175, US | 106 E BLUE HERON BLVD, RIVIERA BEACH, FL, 334044543, US | |||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||
| Phone | +1 561-818-2233 |
| Fax | 5617290987 |
Authorized person
| Name | STEPHEN O BANJOKO |
| Role | CFO |
| Phone | 8133414000 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH23820 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2118838 |
| Issuer | MEDICAID |
| Number | 104357200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BANJOKO STEPHEN O | Chief Financial Officer | P. O. BOX 17175, TAMPA, FL, 33682 |
| BANJOKO BAMIDELE | Agent | 10549 N FLORIDA AVE.,, TAMPA, FL, 33612 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000043070 | BAY AREA PHARMACY | ACTIVE | 2023-04-04 | 2028-12-31 | - | 1721 W FLETCHER AVE, TAMPA, FL, 33612 |
| G18000038396 | SOUTH PASADENA PHARMACY | EXPIRED | 2018-03-22 | 2023-12-31 | - | 1206 PASADENA AVENUE S, SOUTH PASADENA, FL, 33707-6202 |
| G12000043952 | SOUTH PASADENA PHARMACY | EXPIRED | 2012-05-10 | 2017-12-31 | - | 1206 PASADENA AVENUE SOUTH, SOUTH PASADENA, FL, 33707 |
| G08248900314 | LAKELAND COMMUNITY PHARMACY | EXPIRED | 2008-09-04 | 2013-12-31 | - | 1231 ALPINE LAKE DRIVE, BRANDON, FL, 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-04 | 106 E. BLUE HERON BLVD., RIVIERA BEACH, FL 33404 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-30 | 10549 N FLORIDA AVE.,, SUITE A, TAMPA, FL 33612 | - |
| CHANGE OF MAILING ADDRESS | 2021-03-10 | 106 E. BLUE HERON BLVD., RIVIERA BEACH, FL 33404 | - |
| REGISTERED AGENT NAME CHANGED | 2021-03-10 | BANJOKO, BAMIDELE | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000120822 | TERMINATED | 1000000982317 | PINELLAS | 2024-02-22 | 2044-02-28 | $ 21,465.08 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 5483 W WATERS AVE STE 1210, TAMPA FL336341236 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-04 |
| ANNUAL REPORT | 2022-04-30 |
| AMENDED ANNUAL REPORT | 2021-03-18 |
| ANNUAL REPORT | 2021-03-10 |
| AMENDED ANNUAL REPORT | 2020-09-14 |
| ANNUAL REPORT | 2020-06-19 |
| ANNUAL REPORT | 2019-03-20 |
| ANNUAL REPORT | 2018-03-27 |
| ANNUAL REPORT | 2017-03-06 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5552807304 | 2020-04-30 | 0455 | PPP | 1231 ALPINE LAKE DR, BRANDON, FL, 33511-1898 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 02 Apr 2025
Sources: Florida Department of State
