Entity Name: | VETERANS PHARMACY, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 04 Apr 2011 (14 years ago) |
Document Number: | P11000032957 |
FEI/EIN Number | 451488934 |
Mail Address: | P O BOX 16722, TAMPA, FL, 33687, US |
Address: | 11434 N 53RD STREET, TAMPA, FL, 33617, US |
ZIP code: | 33617 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1972896314 | 2011-05-18 | 2017-02-27 | PO BOX 16722, TAMPA, FL, 336876722, US | 11434 N 53RD ST, TEMPLE TERRACE, FL, 336172216, US | |||||||||||||||||||||||||||||||||||||
|
Phone | +1 813-964-6881 |
Fax | 8139646890 |
Authorized person
Name | VICTOR UBANI |
Role | MANAGER |
Phone | 8139646881 |
Taxonomy
Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
Is Primary | No |
Taxonomy Code | 333600000X - Pharmacy |
Is Primary | No |
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
License Number | PH25462 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | PK |
Number | 2130215 |
Issuer | MEDICAID |
Number | 003899000 |
State | FL |
Name | Role | Address |
---|---|---|
UBANI VICTOR | Agent | 11434 N 53RD STREET, TAMPA, FL, 33617 |
Name | Role | Address |
---|---|---|
UBANI VICTOR | President | P O BOX 16722, TAMPA, FL, 33687 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G11000063324 | VETERANS PHARMACY | EXPIRED | 2011-06-22 | 2016-12-31 | No data | P O BOX 16722, TEMPLE TERRACE, FL, 33678 |
G11000056425 | VETERANS PHARMACY INC | ACTIVE | 2011-06-08 | 2026-12-31 | No data | P O BOX 16722, TEMPLE TERRACE, FL, 33584 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF MAILING ADDRESS | 2012-01-16 | 11434 N 53RD STREET, TAMPA, FL 33617 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2012-01-16 | 11434 N 53RD STREET, TAMPA, FL 33617 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2011-04-05 | 11434 N 53RD STREET, TAMPA, FL 33617 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-09 |
ANNUAL REPORT | 2023-01-25 |
ANNUAL REPORT | 2022-01-25 |
ANNUAL REPORT | 2021-01-12 |
ANNUAL REPORT | 2020-03-30 |
ANNUAL REPORT | 2019-02-05 |
ANNUAL REPORT | 2018-05-01 |
ANNUAL REPORT | 2017-01-17 |
ANNUAL REPORT | 2016-04-21 |
ANNUAL REPORT | 2015-01-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State