| Entity Name: | PHARMACY CARE CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Apr 2011 (14 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 28 Sep 2017 (7 years ago) |
| Document Number: | P11000037544 |
| FEI/EIN Number | 454072764 |
| Address: | 2081 W 76TH STREET, SUITE 201, HIALEAH, FL, 33016, US |
| Mail Address: | 2081 W 76TH ST, HIALEAH, FL, 33016, US |
| ZIP code: | 33016 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427560564 | 2017-10-30 | 2017-10-30 | 2081 W 76TH ST, HIALEAH, FL, 330161834, US | 2081 W 76TH ST STE 102, HIALEAH, FL, 330161834, US | |||||||||||||||||||||
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| Phone | +1 305-821-4337 |
| Fax | 3058214338 |
Authorized person
| Name | FADY S GIRGIS |
| Role | PRESIDENT |
| Phone | 3058214337 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 017973501 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GIRGIS FADY | Agent | 14624 BALGOWAN RD, MIAMI, FL, 33014 |
| Name | Role | Address |
|---|---|---|
| GIRGIS FADY | Director | 2081 W 76TH ST, HIALEAH, FL, 33016 |
| NASHAT GHOBRIAL | Director | 2081 W 76TH ST, HIALEAH, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| GIRGIS FADY | President | 2081 W 76TH ST, HIALEAH, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| NASHAT GHOBRIAL | Vice President | 2081 W 76TH ST, HIALEAH, FL, 33016 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-01 | 2081 W 76TH STREET, SUITE 201, HIALEAH, FL 33016 | No data |
| CHANGE OF MAILING ADDRESS | 2019-05-21 | 2081 W 76TH STREET, SUITE 201, HIALEAH, FL 33016 | No data |
| REINSTATEMENT | 2017-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-09-28 | GIRGIS, FADY | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-07-05 | 14624 BALGOWAN RD, MIAMI, FL 33014 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-07 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-03-22 |
| ANNUAL REPORT | 2018-04-06 |
| REINSTATEMENT | 2017-09-28 |
| ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2015-01-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
