Entity Name: | PRESCRIPTION HEADQUARTERS, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Inactive |
Date Filed: | 29 Feb 2012 (13 years ago) |
Date of dissolution: | 26 Sep 2014 (10 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 26 Sep 2014 (10 years ago) |
Document Number: | P12000020678 |
FEI/EIN Number | 45-4680853 |
Address: | 8320 W. SUNRISE BLVD., SUITE 107, PLANTATION, FL 33322 |
Mail Address: | 8320 W. SUNRISE BLVD., SUITE 107, PLANTATION, FL 33322 |
ZIP code: | 33322 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1922364827 | 2012-04-04 | 2013-04-19 | 8320 W SUNRISE BLVD, SUITE 107, PLANTATION, FL, 333225435, US | 8320 W SUNRISE BLVD, SUITE 107, PLANTATION, FL, 333225435, US | |||||||||||||||||||||||||||||||
|
Phone | +1 754-200-5054 |
Fax | 7542008605 |
Authorized person
Name | GARY BRESIN |
Role | PHARMACIST/OWNER |
Phone | 7542005054 |
Taxonomy
Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
Is Primary | No |
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
License Number | PH26124 |
State | FL |
Is Primary | Yes |
Taxonomy Code | 3336C0004X - Compounding Pharmacy |
Is Primary | No |
Other Provider Identifiers
Issuer | PK |
Number | 2135153 |
Name | Role | Address |
---|---|---|
AMARAN LAW GROUP, P.A. | Agent | 2999 NE 191 STREET, 807, AVENTURA, FL 33180 |
Name | Role | Address |
---|---|---|
BRESIN, GARY K | President | 10876 LA SALINAS CIRCLE, BOCA RATON, FL 33428 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2012-04-05 | 8320 W. SUNRISE BLVD., SUITE 107, PLANTATION, FL 33322 | No data |
CHANGE OF MAILING ADDRESS | 2012-04-05 | 8320 W. SUNRISE BLVD., SUITE 107, PLANTATION, FL 33322 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2013-02-21 |
Domestic Profit | 2012-02-29 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State