| Entity Name: | PHARM MART INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 17 Aug 2009 (15 years ago) |
| Date of dissolution: | 21 Sep 2010 (14 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 21 Sep 2010 (14 years ago) |
| Document Number: | P09000069160 |
| Address: | 1129 NE 163RD ST, NORTH MIAMI BEACH, FL, 33162 |
| Mail Address: | 1129 NE 163RD ST, NORTH MIAMI BEACH, FL, 33162 |
| ZIP code: | 33162 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356679583 | 2009-11-30 | 2009-12-17 | 1129 NE 163RD ST, NORTH MIAMI BEACH, FL, 331624502, US | 1129 NE 163RD ST, NORTH MIAMI BEACH, FL, 331624502, US | |||||||||||||||||||||
|
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| Phone | +1 305-354-8640 |
Authorized person
| Name | FRED NIZNIK |
| Role | PRESIDENT |
| Phone | 3053548640 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 24339 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1051729 |
| Name | Role | Address |
|---|---|---|
| NIZNIK FRED | Agent | 1129 NE 163RD ST, NORTH MIAMI BEACH, FL, 33162 |
| Name | Role | Address |
|---|---|---|
| NIZNIK FRED | President | 1129 NE 163RD ST, NORTH MIAMI BEACH, FL, 33162 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000148411 | ZFB PHARMACY | EXPIRED | 2009-08-24 | 2014-12-31 | No data | 1129 NE 163RD STREET, NORTH MIAMI BEACH, FL, 33162 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2010-09-21 | No data | No data |
| AMENDMENT | 2009-12-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2009-12-14 | NIZNIK, FRED | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-12-14 | 1129 NE 163RD ST, NORTH MIAMI BEACH, FL 33162 | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2010-09-21 |
| Amendment | 2009-12-14 |
| Domestic Profit | 2009-08-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
