| Entity Name: | CAB PHARMACY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 02 Feb 2012 (13 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P12000011595 |
| FEI/EIN Number | 45-4502407 |
| Address: | 3655 INNOVATION DRIVE, LAKELAND, FL, 33812, US |
| Mail Address: | 3655 INNOVATION DRIVE, LAKELAND, FL, 33812, US |
| ZIP code: | 33812 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609111764 | 2012-11-30 | 2016-09-27 | 1501 1ST ST S, SUITE 1, WINTER HAVEN, FL, 338804307, US | 1501 1ST ST S, SUITE 1, WINTER HAVEN, FL, 338804307, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 863-229-5974 |
| Fax | 8632295975 |
Authorized person
| Name | BHARATH JANNU |
| Role | PHARMACY MANAGER |
| Phone | 8632295974 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH26527 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 008452300 |
| State | FL |
| Issuer | PK |
| Number | 2138028 |
| Name | Role | Address |
|---|---|---|
| DHAMA KARTHIK | Agent | 3655 INNOVATION DRIVE, LAKELAND, FL, 33812 |
| Name | Role | Address |
|---|---|---|
| DHAMA KARTHIK | President | 3655 INNOVATION DRIVE, LAKELAND, FL, 33812 |
| Name | Role | Address |
|---|---|---|
| DHAMA KARTHIK | Secretary | 3655 INNOVATION DRIVE, LAKELAND, FL, 33812 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000015169 | GOOD HEALTH PHARMACY | EXPIRED | 2012-02-13 | 2017-12-31 | No data | 1911 W.DR.MARTIN LUTHER KING JR.BLVD., TAMPA, FL, 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-04-18 | DHAMA, KARTHIK | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-02 | 3655 INNOVATION DRIVE, LAKELAND, FL 33812 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-02 | 3655 INNOVATION DRIVE, LAKELAND, FL 33812 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-02 | 3655 INNOVATION DRIVE, LAKELAND, FL 33812 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-03-19 |
| ANNUAL REPORT | 2020-04-18 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-02-02 |
| ANNUAL REPORT | 2016-01-26 |
| ANNUAL REPORT | 2015-01-13 |
| ANNUAL REPORT | 2014-03-04 |
| ANNUAL REPORT | 2013-02-12 |
| Domestic Profit | 2012-02-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
