| Entity Name: | EVERGREEN PHARMACY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Profit Corporation
EVERGREEN PHARMACY INC is structured as a Profit Corporation, also known as a C-Corporation, a business structure recognized as a separate legal entity from its owners. This structure offers the benefit of potential tax advantages and ease of raising capital through the issuance of stock. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 24 Feb 2012 (13 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P12000018682 |
| FEI/EIN Number |
45-4620484
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 875 EAST 10TH AVE, HIALEAH, FL 33010 |
| Mail Address: | 875 EAST 10TH AVE, HIALEAH, FL 33010 |
| ZIP code: | 33010 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740549500 | 2012-05-14 | 2017-02-20 | 875 E 10TH AVE, HIALEAH, FL, 330104645, US | 875 E 10TH AVE, HIALEAH, FL, 330104645, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 786-360-4945 |
| Fax | 7863604955 |
Authorized person
| Name | AUGUSTINE ORANUSI |
| Role | OWNED/PHARMACIST |
| Phone | 9544782950 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH26138 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 008565300 |
| State | FL |
| Issuer | PK |
| Number | 2137257 |
| Name | Role | Address |
|---|---|---|
| ORANUSI, AUGUSTINE O | President | 875 EAST 10TH AVE, HIALEAH, FL 33010 |
| ORANUSI, AUGUSTINE O | Agent | 875 EAST 10TH AVE, HIALEA, FL 33010 |
| MAYEA, CARLOS E | Vice President | 875 EAST 10TH AVE, HIALEAH, FL 33010 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-02-01 |
| ANNUAL REPORT | 2017-01-26 |
| ANNUAL REPORT | 2016-02-01 |
| ANNUAL REPORT | 2015-02-19 |
| ANNUAL REPORT | 2014-01-25 |
| ANNUAL REPORT | 2013-02-15 |
| Domestic Profit | 2012-02-24 |
Date of last update: 22 Feb 2025
Sources: Florida Department of State
