| Entity Name: | YOUR FRIENDLY PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 25 Jan 2010 (15 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: | P10000006685 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 458B WEST HILLSBORO BLVD., DEERFIELD BEACH, FL, 33441 |
| Mail Address: | 458B WEST HILLSBORO BLVD., DEERFIELD BEACH, FL, 33441 |
| ZIP code: | 33441 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790088805 | 2010-12-10 | 2011-03-28 | 458 W HILLSBORO BLVD, 458 B, DEERFIELD BEACH, FL, 334411604, US | 458 W HILLSBORO BLVD, 458 B, DEERFIELD BEACH, FL, 334411604, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 954-420-5273 |
| Fax | 9544205276 |
Authorized person
| Name | LANA WISEBERG |
| Role | PRESIDENT/OWNER |
| Phone | 9544205273 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 24627 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5703067 |
| Name | Role | Address |
|---|---|---|
| WISEBERG LANA | Agent | 458B WEST HILLSBORO BLVD., DEERFIELD BEACH, FL, 33441 |
| Name | Role | Address |
|---|---|---|
| WISEBERG LANA | President | 458B WEST HILLSBORO BLVD., DEERFIELD BEACH, FL, 33441 |
| Name | Role | Address |
|---|---|---|
| WISEBERG LANA | Secretary | 458B WEST HILLSBORO BLVD., DEERFIELD BEACH, FL, 33441 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-30 |
| Domestic Profit | 2010-01-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
