Entity Name: | PHARMACY CHOICE, INC |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 31 Aug 2010 (14 years ago) |
Document Number: | P10000071333 |
FEI/EIN Number | 273374009 |
Address: | 14583 SOUTHERN BLVD, LOXHATCHEE, FL, 33470 |
Mail Address: | 14583 SOUTHERN BLVD, LOXHATCHEE, FL, 33470 |
ZIP code: | 33470 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1124323613 | 2011-01-14 | 2012-07-20 | 14583 SOUTHERN BLVD, LOXAHATCHEE, FL, 334709222, US | 14583 SOUTHERN BLVD, LOXAHATCHEE, FL, 334709222, US | |||||||||||||||||||||||||||
|
Phone | +1 561-793-3300 |
Fax | 5617933390 |
Authorized person
Name | ILIANA PERNAS |
Role | PRESIDENT |
Phone | 5617933300 |
Taxonomy
Taxonomy Code | 333600000X - Pharmacy |
Is Primary | No |
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
License Number | PH25217 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
Number | 5704045 |
Name | Role | Address |
---|---|---|
PERNAS ILIANA | Agent | 15773 82 ND LANE N, LOXHATCHEE, FL, 33470 |
Name | Role | Address |
---|---|---|
PERNAS ILIANA R | President | 15773 82ND LANE N, LOXHATCHEE, FL, 33470 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2011-02-20 | 14583 SOUTHERN BLVD, LOXHATCHEE, FL 33470 | No data |
CHANGE OF MAILING ADDRESS | 2011-02-20 | 14583 SOUTHERN BLVD, LOXHATCHEE, FL 33470 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-03 |
ANNUAL REPORT | 2023-03-01 |
ANNUAL REPORT | 2022-03-21 |
ANNUAL REPORT | 2021-01-30 |
ANNUAL REPORT | 2020-04-21 |
ANNUAL REPORT | 2019-04-11 |
ANNUAL REPORT | 2018-04-07 |
ANNUAL REPORT | 2017-04-05 |
ANNUAL REPORT | 2016-03-18 |
ANNUAL REPORT | 2015-03-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State