| Entity Name: | DAVIE ROAD PHARMACY INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 09 Jan 2012 (13 years ago) |
| Date of dissolution: | 07 Feb 2017 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 07 Feb 2017 (8 years ago) |
| Document Number: | P12000002684 |
| FEI/EIN Number | 45-4231356 |
| Mail Address: | 6477 STIRLING ROAD, DAVIE, FL 33314 |
| Address: | PHARMACY HOLDING LLC, 850 NEW BURTON ROAD STE 201, DOVER, DE 19904 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730444563 | 2012-07-09 | 2016-03-30 | 6477 STIRLING RD, DAVIE, FL, 333147126, US | 6477 STIRLING RD, DAVIE, FL, 333147126, US | |||||||||||||||||||||||||||
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| Phone | +1 954-791-0161 |
| Fax | 9547918468 |
Authorized person
| Name | Z SOTO |
| Role | MANAGING MEMBER |
| Phone | 9547910161 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH25978 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2135850 |
| Name | Role | Address |
|---|---|---|
| CASTELLANOS, MAYLING | Agent | 6477 STIRLING ROAD, DAVIE, FL 33314 |
| Name | Role | Address |
|---|---|---|
| PHARMACY HOLDING, LLC | President | 850 NEW BURTON ROAD STE 201, DOVER, DE 19904 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-02-07 | No data | No data |
| AMENDMENT | 2016-01-20 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-01-20 | 6477 STIRLING ROAD, DAVIE, FL 33314 | No data |
| REINSTATEMENT | 2014-04-03 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-03 | PHARMACY HOLDING LLC, 850 NEW BURTON ROAD STE 201, DOVER, DE 19904 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| Reg. Agent Resignation | 2018-08-31 |
| VOLUNTARY DISSOLUTION | 2017-02-07 |
| ANNUAL REPORT | 2016-02-17 |
| Amendment | 2016-01-20 |
| ANNUAL REPORT | 2015-04-22 |
| REINSTATEMENT | 2014-04-03 |
| Domestic Profit | 2012-01-09 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
