| Entity Name: | SAINT CLOUD PHARMACY AND WELLNESS CENTER, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 05 Oct 2010 (14 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | P10000081368 |
| Address: | 901 WESTGATE PLAZA, SAINT CLOUD, FL, 34769 |
| Mail Address: | 3744 MARIETTA WAY, SAINT CLOUD, FL, 34772 |
| ZIP code: | 34769 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396043261 | 2011-03-02 | 2019-05-21 | 2801 13TH ST, SAINT CLOUD, FL, 347694134, US | 2801 13TH ST, SAINT CLOUD, FL, 347694134, US | |||||||||||||||||||||||
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| Phone | +1 407-593-2959 |
| Fax | 4075932957 |
Authorized person
| Name | MR. SIBY THOMAS PUTHENPURAYIL |
| Role | PHARMACIST |
| Phone | 4075932959 |
Taxonomy
| Taxonomy Code | 163WD0400X - Diabetes Educator Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH25210 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KP ACCOUNTING AND TAX SERVICE, INC | Agent | 5720 GALL BLVD, ZEPHYRHILLS, FL, 33542 |
| Name | Role | Address |
|---|---|---|
| PUTHENPURAYIL SIBY T | President | 3744 MARIETTA WAY, SAINT CLOUD, FL, 34772 |
| Name | Role | Address |
|---|---|---|
| MARUTHOOPARAMBIL PRADEEP | Vice President | 10617 BLUE CORAL LN, TAMPA, FL, 33647 |
| Name | Role | Address |
|---|---|---|
| CHORATH TOMRAJ | Secretary | 2914 CASABELLA DR, KISSIMMEE, FL, 34744 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2010-10-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
