| Entity Name: | WEST LAKE PHARMACY, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 01 Jun 2010 (15 years ago) |
| Document Number: | P10000046602 |
| FEI/EIN Number | 27-2770344 |
| Address: | 2544 SIMPSON ROAD, KISSIMMEE, FL 34744 |
| Mail Address: | 2544 SIMPSON ROAD, KISSIMMEE, FL 34744 |
| ZIP code: | 34744 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841599644 | 2011-03-18 | 2015-08-20 | 2544 SIMPSON RD, KISSIMMEE, FL, 347444637, US | 2544 SIMPSON RD, KISSIMMEE, FL, 347444637, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 407-344-4555 |
| Fax | 4073444566 |
Authorized person
| Name | NAPOLEON ONYECHI |
| Role | MANAGER |
| Phone | 4073444555 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH25247 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003526500 |
| State | FL |
| Issuer | PK |
| Number | 2130063 |
| Name | Role | Address |
|---|---|---|
| ONYECHI, NAPOLOEN I | Agent | 5833 CHESHIRE COVE TERRACE, ORLANDO, FL 32829 |
| Name | Role | Address |
|---|---|---|
| ONYECHI, NAPOLEON I | President | 5833 CHESHIRE COVE TERRACE, ORLANDO, FL 32829 |
| Name | Role | Address |
|---|---|---|
| ONYECHI, NAPOLEON I | Vice President | 5833 CHESHIRE COVE TERRACE, ORLANDO, FL 32829 |
| Name | Role | Address |
|---|---|---|
| ONYECHI, NAPOLEON I | Secretary | 5833 CHESHIRE COVE TERRACE, ORLANDO, FL 32829 |
| Name | Role | Address |
|---|---|---|
| ONYECHI, NAPOLEON I | Treasurer | 5833 CHESHIRE COVE TERRACE, ORLANDO, FL 32829 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-06-26 | 2544 SIMPSON ROAD, KISSIMMEE, FL 34744 | No data |
| CHANGE OF MAILING ADDRESS | 2018-06-26 | 2544 SIMPSON ROAD, KISSIMMEE, FL 34744 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-06-17 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-19 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 23 Feb 2025
Sources: Florida Department of State
