| Entity Name: | L & E PHARMACY, CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 04 Oct 2010 (14 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: | P10000080320 |
| FEI/EIN Number | 273608842 |
| Address: | 11023 NW 27 AVENUE, MIAMI, FL, 33167 |
| Mail Address: | 11023 NW 27 AVENUE, MIAMI, FL, 33167 |
| ZIP code: | 33167 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023311792 | 2010-12-17 | 2012-03-22 | 11023 NW 27TH AVE, MIAMI, FL, 331673411, US | 11023 NW 27TH AVE, MIAMI, FL, 331673411, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 786-536-5217 |
| Fax | 7865365218 |
Authorized person
| Name | SANTIAGO FERNANDEZ |
| Role | PRESIDENT |
| Phone | 7865365217 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH25133 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5703271 |
| Name | Role | Address |
|---|---|---|
| ELIZALDE JORGE C | Agent | 7431 SW 132 AVE., MIAMI, FL, 33183 |
| Name | Role | Address |
|---|---|---|
| ELIZALDE JORGE C | President | 7431 SW 132 AVENUE, MIAMI, FL, 33183 |
| Name | Role | Address |
|---|---|---|
| ELIZALDE JORGE C | Secretary | 7431 SW 132 AVENUE, MIAMI, FL, 33183 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| AMENDMENT | 2011-11-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2011-11-22 | ELIZALDE, JORGE C | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-11-22 | 7431 SW 132 AVE., MIAMI, FL 33183 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-06-29 | 11023 NW 27 AVENUE, MIAMI, FL 33167 | No data |
| CHANGE OF MAILING ADDRESS | 2011-06-29 | 11023 NW 27 AVENUE, MIAMI, FL 33167 | No data |
| AMENDMENT | 2010-10-19 | No data | No data |
| Name | Date |
|---|---|
| Amendment | 2011-11-22 |
| ADDRESS CHANGE | 2011-06-29 |
| ANNUAL REPORT | 2011-04-29 |
| Amendment | 2010-10-19 |
| Domestic Profit | 2010-10-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
