| Entity Name: | LIFESAVER PHARMACY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 30 Sep 2008 (16 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | P08000089214 |
| FEI/EIN Number | 80-0291265 |
| Address: | 11735 SW 147TH AVE, UNIT 5, MIAMI, FL 33196 |
| Mail Address: | 11735 SW 147TH AVE, UNIT 5, MIAMI, FL 33196 |
| ZIP code: | 33196 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457589046 | 2009-06-23 | 2016-04-19 | 11735 SW 147TH AVE, #5, MIAMI, FL, 331963321, US | 11735 SW 147TH AVE UNIT 5, MIAMI, FL, 331963329, US | |||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||
| Phone | +1 305-385-0059 |
| Fax | 3053850670 |
Authorized person
| Name | ANDRES ESPINOZA |
| Role | PRESIDENT / OWNER |
| Phone | 3053850059 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 24104 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 006436200 |
| State | FL |
| Issuer | PK |
| Number | 2120776 |
| Name | Role | Address |
|---|---|---|
| ESPINOZA, ANDRES R | Agent | 11735 SW 147TH AVE, UNIT 5, MIAMI, FL 33196 |
| Name | Role | Address |
|---|---|---|
| FLORES, RUBEN | Vice President | 11735 SW 147TH AVENUE UNIT 5, MIAMI, FL 33196 |
| Name | Role | Address |
|---|---|---|
| ESPINOZA, ANDRES R | President | 11735 SW 147TH AVENUE UNIT 5, MIAMI, FL 33196 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| AMENDMENT | 2023-01-20 | No data | No data |
| AMENDMENT | 2019-12-03 | No data | No data |
| AMENDMENT | 2019-09-16 | No data | No data |
| AMENDMENT | 2019-08-14 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-20 | 11735 SW 147TH AVE, UNIT 5, MIAMI, FL 33196 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-20 | 11735 SW 147TH AVE, UNIT 5, MIAMI, FL 33196 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-20 | 11735 SW 147TH AVE, UNIT 5, MIAMI, FL 33196 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-27 |
| Amendment | 2023-01-20 |
| ANNUAL REPORT | 2022-02-16 |
| ANNUAL REPORT | 2021-03-09 |
| ANNUAL REPORT | 2020-01-16 |
| Amendment | 2019-12-03 |
| Amendment | 2019-09-16 |
| Amendment | 2019-08-14 |
| ANNUAL REPORT | 2019-01-04 |
| ANNUAL REPORT | 2018-01-02 |
Date of last update: 26 Jan 2025
Sources: Florida Department of State
