| Entity Name: | GENERIC DEPOT 3, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 14 Jan 2009 (16 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 22 Aug 2019 (6 years ago) |
| Document Number: | P09000004391 |
| FEI/EIN Number | 26-4080024 |
| Address: | 8225 N. PINE ISLAND RD, TAMARAC, FL 33321 |
| Mail Address: | 8225 N. PINE ISLAND RD, TAMARAC, FL 33321 |
| ZIP code: | 33321 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | GENERIC DEPOT 3, INC., ILLINOIS | CORP_68200423 | ILLINOIS |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740419118 | 2009-07-07 | 2011-07-27 | 8225 N PINE ISLAND RD, TAMARAC, FL, 333211541, US | 8225 N PINE ISLAND RD, TAMARAC, FL, 333211541, US | |||||||||||||||||||||||
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| Phone | +1 954-773-2450 |
| Fax | 9547732455 |
Authorized person
| Name | HAL GOLDMAN |
| Role | PRESIDENT |
| Phone | 9547732450 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH24162 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1046920 |
| Name | Role | Address |
|---|---|---|
| GOLDMAN, HAL | Agent | 8225 N. PINE ISLAND RD, TAMARAC, FL 33321 |
| Name | Role | Address |
|---|---|---|
| GOLDMAN, HAL | President | 12182 NW 72ND STREET, PARKLAND, FL 33076 |
| Name | Role | Address |
|---|---|---|
| GOLDMAN, HAL | Treasurer | 12182 NW 72ND STREET, PARKLAND, FL 33076 |
| Name | Role | Address |
|---|---|---|
| GOLDMAN, HAL | Director | 12182 NW 72ND STREET, PARKLAND, FL 33076 |
| Name | Role | Address |
|---|---|---|
| GOLDMAN, HAL | Secretary | 12182 NW 72ND STREET, PARKLAND, FL 33076 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000047691 | PRESCRIPTION DEPOT | ACTIVE | 2011-05-19 | 2026-12-31 | No data | 8225 N. PINE ISLAND RD, 8225 NORTH PINE ISLAND ROAD, TAMARAC, FL, 33321 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2019-08-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-01-06 | 8225 N. PINE ISLAND RD, TAMARAC, FL 33321 | No data |
| CHANGE OF MAILING ADDRESS | 2010-01-06 | 8225 N. PINE ISLAND RD, TAMARAC, FL 33321 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-01-06 | 8225 N. PINE ISLAND RD, TAMARAC, FL 33321 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-02-11 |
| ANNUAL REPORT | 2021-01-18 |
| ANNUAL REPORT | 2020-05-05 |
| Amendment | 2019-08-22 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-02-10 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1510197707 | 2020-05-01 | 0455 | PPP | 8225 NW 88TH AVE, FORT LAUDERDALE, FL, 33321 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 24 Feb 2025
Sources: Florida Department of State
