| Entity Name: | LUCKY PHARMS INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Nov 2009 (15 years ago) |
| Document Number: | P09000093273 |
| FEI/EIN Number | 271321067 |
| Address: | 375 NE 54ST, SUITE # 3, MIAMI, FL, 33137 |
| Mail Address: | 375 NE 54ST, SUITE # 3, MIAMI, FL, 33137 |
| ZIP code: | 33137 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043526965 | 2010-08-30 | 2012-07-09 | 375 NE 54TH ST, SUITE 3, MIAMI, FL, 331372967, US | 375 NE 54TH ST, SUITE 3, MIAMI, FL, 331372967, US | |||||||||||||||||||||||||||
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| Phone | +1 305-762-5521 |
| Fax | 3054334113 |
Authorized person
| Name | CARMEN VASQUEZ |
| Role | PRESIDENT/OWNER |
| Phone | 3057625521 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH24825 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5701619 |
| Name | Role | Address |
|---|---|---|
| CANTRES CRISTINA | Agent | 375 NE 54ST, MIAMI, FL, 33137 |
| Name | Role | Address |
|---|---|---|
| DAVIS CARMEN V | President | 554 ne 199 lane, miami, FL, 33179 |
| Name | Role | Address |
|---|---|---|
| VASQUEZ JOSE R | Manager | 375 NE 54ST, MIAMI, FL, 33137 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000190425 | CAMPO RICO PHARMACY | EXPIRED | 2009-12-30 | 2024-12-31 | No data | 375 NE 54ST, SUITE 3, MIAMI, FL, 33137 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-13 | 375 NE 54ST, SUITE # 3, MIAMI, FL 33137 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-04-29 | CANTRES, CRISTINA | No data |
| CHANGE OF MAILING ADDRESS | 2010-05-03 | 375 NE 54ST, SUITE # 3, MIAMI, FL 33137 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-03-21 |
| ANNUAL REPORT | 2022-03-16 |
| AMENDED ANNUAL REPORT | 2021-12-07 |
| ANNUAL REPORT | 2021-03-13 |
| ANNUAL REPORT | 2020-04-02 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-03-14 |
| ANNUAL REPORT | 2016-01-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
