| Entity Name: | COREHEALTH PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 18 Jul 2011 (14 years ago) |
| Document Number: | P11000064396 |
| FEI/EIN Number | 45-2781984 |
| Address: | 11260 Pines Blvd, PEMBROKE PINES, FL 33026 |
| Mail Address: | 11260 Pines Blvd, PEMBROKE PINES, FL 33026 |
| ZIP code: | 33026 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992263990 | 2019-03-08 | 2021-01-15 | 11260 PINES BLVD STE B, PEMBROKE PINES, FL, 330264101, US | 11260 PINES BLVD, PEMBROKE PINES, FL, 330264101, US | |||||||||||||||||||
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| Phone | +1 954-450-8873 |
Authorized person
| Name | UCHENNA C EZENWA |
| Role | PHARMACIST |
| Phone | 9544508873 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 005633400 |
| State | FL |
| Name | Role |
|---|---|
| STEVEN J. HENRIQUEZ CPA, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| EZENWA, CHIZOBA O | President | 983 SW 176 TERRACE, PEMBROKE PINES, FL 33029 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-10 | 11260 Pines Blvd, PEMBROKE PINES, FL 33026 | No data |
| CHANGE OF MAILING ADDRESS | 2017-04-10 | 11260 Pines Blvd, PEMBROKE PINES, FL 33026 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-29 | 5825 Sunset Drive, Ste. 201, MIAMI, FL 33143 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-13 |
| ANNUAL REPORT | 2024-09-04 |
| ANNUAL REPORT | 2023-04-21 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-04-14 |
| ANNUAL REPORT | 2019-04-18 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-10 |
| ANNUAL REPORT | 2016-04-22 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3971367407 | 2020-05-08 | 0455 | PPP | 11260 Pines Blvd, Pembroke Pines, FL, 33026 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 23 Feb 2025
Sources: Florida Department of State
