| Entity Name: | ALHAMBRA PHARMACY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 Apr 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: | P12000033401 |
| FEI/EIN Number | 45-5004791 |
| Address: | 4815 NW 79 AVEUE, SUITE 1, DORAL, FL, 33166 |
| Mail Address: | 4815 NW 79 AVEUE, SUITE 1, DORAL, FL, 33166 |
| ZIP code: | 33166 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902167125 | 2012-06-05 | 2012-06-05 | 4815 NW 79TH AVE, STE 1, DORAL, FL, 331665437, US | 4815 NW 79TH AVE STE 1, DORAL, FL, 331665437, US | |||||||||||||||||||||||
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| Phone | +1 786-452-1171 |
| Fax | 7864521172 |
Authorized person
| Name | LEONEL HERNANDEZ |
| Role | OWNER |
| Phone | 7864521171 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH26180 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5710579 |
| Name | Role |
|---|---|
| BUSINESS ACCOUNTING PROFESSIONALS, CORP | Agent |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ LEONEL | President | 4815 NW 79 AVENUE SUTIE 1, DORAL, FL, 33166 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-02-14 |
| Domestic Profit | 2012-04-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
