| Entity Name: | SANTOS SUAREZ PHARMACY, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 30 Oct 2008 (16 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P08000097838 |
| FEI/EIN Number | 320272968 |
| Address: | 11300 NW 87 CT, SUITE #149, HIALEAH GARDENS, FL, 33018 |
| Mail Address: | 11300 NW 87 CT, SUITE #149, HIALEAH GARDENS, FL, 33018 |
| ZIP code: | 33018 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639317779 | 2009-01-28 | 2011-03-16 | 11300 NW 87TH CT, 149, HIALEAH GARDENS, FL, 330184586, US | 11300 NW 87TH CT, 149, HIALEAH GARDENS, FL, 330184586, US | |||||||||||||||||||||||
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| Phone | +1 305-821-2904 |
| Fax | 3058212905 |
Authorized person
| Name | TANIA ALVAREZ |
| Role | OWNER |
| Phone | 3058212904 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH23951 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1047009 |
| Name | Role | Address |
|---|---|---|
| ALVAREZ TANIA | Agent | 11300 NW 87 CT, HIALEAH GARDENS, FL, 33018 |
| Name | Role | Address |
|---|---|---|
| ALVAREZ TANIA | President | 11300 NW 87 CT, SUITE 149, HIALEAH GARDENS, FL, 33018 |
| Name | Role | Address |
|---|---|---|
| ALVAREZ TANIA | Director | 11300 NW 87 CT, SUITE 149, HIALEAH GARDENS, FL, 33018 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-03-24 |
| ANNUAL REPORT | 2010-04-22 |
| ANNUAL REPORT | 2009-07-09 |
| Domestic Profit | 2008-10-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
