| Entity Name: | STAYWELL PHARMACY, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 13 Feb 2012 (13 years ago) |
| Document Number: | P12000014919 |
| FEI/EIN Number | 45-4525222 |
| Address: | 10112 US HIGHWAY 19, PORT RICHEY, FL, 34668, US |
| Mail Address: | 10112 US HIGHWAY 19, PORT RICHEY, FL, 34668, US |
| ZIP code: | 34668 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336405109 | 2012-04-06 | 2019-07-30 | 10112 US HWY 19, PORT RICHEY, FL, 34668, US | 10112 US HWY 19, PORT RICHEY, FL, 34668, US | |||||||||||||||||||
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| Phone | +1 727-378-4548 |
| Fax | 7273784533 |
Authorized person
| Name | MR. BENNY VAZHAYIL GEORGE |
| Role | PHARMACY MANAGER |
| Phone | 7273784548 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH26045 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GEORGE BENNY V | Agent | 10112 US HIGHWAY 19, PORT RICHEY, FL, 34668 |
| Name | Role | Address |
|---|---|---|
| GEORGE BENNY V | President | 10112 US HIGHWAY 19, PORT RICHEY, FL, 34668 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000126372 | STAYWELL PHARMACY | EXPIRED | 2018-11-29 | 2023-12-31 | No data | 10112 US HIGHWAY 19, PORT RICHEY, FL, 34668 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2019-07-05 | GEORGE, BENNY V | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-04 | 10112 US HIGHWAY 19, PORT RICHEY, FL 34668 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-11-15 | 10112 US HIGHWAY 19, PORT RICHEY, FL 34668 | No data |
| CHANGE OF MAILING ADDRESS | 2018-11-15 | 10112 US HIGHWAY 19, PORT RICHEY, FL 34668 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-03-20 |
| AMENDED ANNUAL REPORT | 2019-07-05 |
| ANNUAL REPORT | 2019-03-04 |
| AMENDED ANNUAL REPORT | 2018-11-15 |
| ANNUAL REPORT | 2018-01-22 |
| ANNUAL REPORT | 2017-02-10 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3404227404 | 2020-05-07 | 0455 | PPP | 10112 US HIGHWAY 19, PORT RICHEY, FL, 34668-3743 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Feb 2025
Sources: Florida Department of State
