Entity Name: | PHARMACY VENTURES, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Inactive |
Date Filed: | 29 Jul 2011 (14 years ago) |
Date of dissolution: | 28 Sep 2012 (12 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 28 Sep 2012 (12 years ago) |
Document Number: | P11000068454 |
Address: | 2729 FOUNTAIN HEAD DRIVE, PLANO, TX 75023 |
Mail Address: | 2729 FOUNTAIN HEAD DRIVE, PLANO, TX 75023 |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1356534838 | 2007-08-20 | 2017-02-20 | PO BOX 223, SEA GIRT, NJ, 087500223, US | 1850 ELDRON BLVD SE, UNIT 7, PALM BAY, FL, 329096870, US | |||||||||||||||||||||||||||||||||||||
|
Phone | +1 866-777-7000 |
Fax | 7322801350 |
Phone | +1 321-308-0303 |
Fax | 3213080310 |
Authorized person
Name | CHERYL MCDANIEL |
Role | OWNER, AO |
Phone | 8667777000 |
Taxonomy
Taxonomy Code | 333600000X - Pharmacy |
Is Primary | No |
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
License Number | PH26928 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 010536000 |
State | FL |
Issuer | PK |
Number | 2143471 |
Name | Role | Address |
---|---|---|
HACKNEY, ROBERT CESQUIRE | Agent | 1061 E INDIANTOWN ROAD, SUITE 400, JUPITER, FL 33477 |
Name | Role | Address |
---|---|---|
ROY, MALCOLM R | President | 2729 FOUNTAIN HEAD DRIVE, PLANO, TX 75023 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
Name | Date |
---|---|
Domestic Profit | 2011-07-29 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State