| Entity Name: | MIDTOWN APOTHECARY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Mar 2010 (15 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 12 Aug 2020 (5 years ago) |
| Document Number: | P10000020569 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 2136 W Dr. Martin Luther King Jr. Blvd, TAMPA, FL, 33607, US |
| Mail Address: | 2136 W Dr. Martin Luther King Jr. Blvd, TAMPA, FL, 33607, US |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265730345 | 2011-03-14 | 2024-10-31 | 2136 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL, 336076512, US | 2136 W MLK BLVD STE A, TAMPA, FL, 336076512, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 813-527-0765 |
| Fax | 8136446992 |
Authorized person
| Name | WALE JULIUS |
| Role | OWNER |
| Phone | 8135367291 |
Taxonomy
| Taxonomy Code | 3336C0002X - Clinic Pharmacy |
| License Number | PH25711 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH25711 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 021834500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Musca Dan | Agent | 2445 TAMPA ROAD, UNIT 1, PALM HARBOR, FL, 34683 |
| Name | Role | Address |
|---|---|---|
| JULIUS WALE | President | 2136 W DR. MARTIN LUTHER KING JR. BLVD, TAMPA, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| JULIUS WALE | Director | 2136 W DR. MARTIN LUTHER KING JR. BLVD, TAMPA, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| JULIUS WALE | Secretary | 2136 W DR. MARTIN LUTHER KING JR. BLVD, TAMPA, FL, 33607 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000029434 | FOUNDATIONAL HEALTH PHARMACY | EXPIRED | 2011-03-22 | 2016-12-31 | No data | 5535 MEMORIAL HWY, TAMPA, FL, 33634 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-07-21 | Musca, Dan | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-06-25 | 2136 W Dr. Martin Luther King Jr. Blvd, TAMPA, FL 33607 | No data |
| CHANGE OF MAILING ADDRESS | 2021-06-25 | 2136 W Dr. Martin Luther King Jr. Blvd, TAMPA, FL 33607 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-08-12 | 2445 TAMPA ROAD, UNIT 1, PALM HARBOR, FL 34683 | No data |
| AMENDMENT | 2020-08-12 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2020-03-25 | MIDTOWN APOTHECARY INC | No data |
| AMENDMENT | 2011-08-29 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-02-10 |
| AMENDED ANNUAL REPORT | 2021-07-21 |
| ANNUAL REPORT | 2021-01-31 |
| Amendment | 2020-08-12 |
| Amendment and Name Change | 2020-03-25 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-12 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
