| Entity Name: | ST. JUDE PHARMACY & DISCOUNT, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 01 Feb 2011 (14 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P11000011154 |
| FEI/EIN Number | 274753976 |
| Address: | 4822 NW 167TH ST, MIAMI GARDENS, FL, 33014 |
| Mail Address: | 4822 NW 167TH ST, MIAMI GARDENS, FL, 33014 |
| ZIP code: | 33014 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205128774 | 2011-05-03 | 2017-04-28 | 4822 NW 167TH ST, MIAMI LAKES, FL, 330146426, US | 4822 NW 167TH ST, MIAMI LAKES, FL, 330146426, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 305-621-3448 |
| Fax | 3056213464 |
Authorized person
| Name | JUAN HERNANDEZ |
| Role | PRESIDENT |
| Phone | 3056213448 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH25424 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2133928 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ JUAN CARLOS | Agent | 4822 NW 167TH ST, MIAMI GARDENS, FL, 33014 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ JUAN CARLOS | President | 4822 NW 167TH ST, MIAMI GARDENS, FL, 33014 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ JUAN CARLOS | Secretary | 4822 NW 167TH ST, MIAMI GARDENS, FL, 33014 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ JUAN CARLOS | Director | 4822 NW 167TH ST, MIAMI GARDENS, FL, 33014 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ JUAN C | Vice President | 4822 NW 167TH ST, MIAMI GARDENS, FL, 33014 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| AMENDMENT | 2016-05-10 | No data | No data |
| AMENDMENT | 2015-08-27 | No data | No data |
| AMENDMENT | 2014-07-29 | No data | No data |
| AMENDMENT | 2013-06-10 | No data | No data |
| AMENDMENT | 2011-12-19 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2011-12-19 | HERNANDEZ, JUAN CARLOS | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-04-30 |
| AMENDED ANNUAL REPORT | 2020-12-22 |
| AMENDED ANNUAL REPORT | 2020-08-13 |
| ANNUAL REPORT | 2020-04-02 |
| ANNUAL REPORT | 2019-02-01 |
| ANNUAL REPORT | 2018-02-21 |
| ANNUAL REPORT | 2017-01-04 |
| Amendment | 2016-05-10 |
| AMENDED ANNUAL REPORT | 2016-04-29 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
