| Entity Name: | HARBOUR ISLAND SPECIALTY PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 15 Jul 2009 (16 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P09000060020 |
| FEI/EIN Number | 270480019 |
| Address: | 12615 RACE TRACK RD, TAMPA, FL, 33626, US |
| Mail Address: | 12615 RACE TRACK RD, TAMPA, FL, 33626, US |
| ZIP code: | 33626 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336464072 | 2010-04-06 | 2011-10-06 | 12615 RACE TRACK RD, TAMPA, FL, 336261331, US | 12615 RACE TRACK RD, TAMPA, FL, 336261331, US | |||||||||||||||||||||||||||
|
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| Phone | +1 813-925-0300 |
| Fax | 8139250311 |
Authorized person
| Name | ANTHONY PRIETO |
| Role | OWNER |
| Phone | 8139250300 |
Taxonomy
| Taxonomy Code | 3336I0012X - Institutional Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PH24548 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1055309 |
| Name | Role | Address |
|---|---|---|
| Prieto Anthony T | Agent | 12615 RACE TRACK RD, TAMPA, FL, 33626 |
| Name | Role | Address |
|---|---|---|
| Prieto Anthony | President | 12615 RACE TRACK RD, TAMPA, FL, 33626 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2013-01-15 | Prieto, Anthony T | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-05-23 | 12615 RACE TRACK RD, TAMPA, FL 33626 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-05-23 | 12615 RACE TRACK RD, TAMPA, FL 33626 | No data |
| CHANGE OF MAILING ADDRESS | 2012-05-23 | 12615 RACE TRACK RD, TAMPA, FL 33626 | No data |
| REINSTATEMENT | 2011-06-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| AMENDMENT | 2010-01-11 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-01-15 |
| ANNUAL REPORT | 2012-07-03 |
| ANNUAL REPORT | 2012-05-23 |
| ANNUAL REPORT | 2011-12-20 |
| REINSTATEMENT | 2011-06-21 |
| Off/Dir Resignation | 2010-02-01 |
| Amendment | 2010-01-11 |
| Domestic Profit | 2009-07-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
