| Entity Name: | FILL-A-SCRIPT PHARMACY,INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 18 Jun 2012 (13 years ago) |
| Date of dissolution: | 01 Oct 2013 (11 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 01 Oct 2013 (11 years ago) |
| Document Number: | P12000054642 |
| FEI/EIN Number | 45-5518960 |
| Address: | 2500 SW 107TH AVE, 30, MIAMI, FL 33165 |
| Mail Address: | 2500 SW 107TH AVE, 30, MIAMI, FL 33165 |
| ZIP code: | 33165 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902156284 | 2012-09-14 | 2012-09-14 | 2500 SW 107TH AVE #30, MIAMI, FL, 33165, US | 2500 SW 107TH AVE STE 30, MIAMI, FL, 331652492, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 305-226-0181 |
Authorized person
| Name | DARLIN ROMAN |
| Role | SECRETARY |
| Phone | 7863009150 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH26326 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| License Number | PH26327 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PHARMACY |
| Number | PH26326 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROMAN, ROBERTO | Agent | 2500 SW 107TH AVE, #30, MIAMI, FL 33165 |
| Name | Role | Address |
|---|---|---|
| ROMAN, ROBERTO | President | 2500 SW 107 AVE SUITE 30, MIAMI, FL 33177 |
| Name | Role | Address |
|---|---|---|
| ROMAN, DARLIN | Secretary | 5990 S W 7TH ST, MIAMI, FL 33144 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2013-10-01 | No data | No data |
| AMENDMENT | 2012-08-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-08-27 | 2500 SW 107TH AVE, #30, MIAMI, FL 33165 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-07-10 | 2500 SW 107TH AVE, 30, MIAMI, FL 33165 | No data |
| CHANGE OF MAILING ADDRESS | 2012-07-10 | 2500 SW 107TH AVE, 30, MIAMI, FL 33165 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2013-10-01 |
| ANNUAL REPORT | 2013-04-26 |
| Amendment | 2012-08-27 |
| Domestic Profit | 2012-06-18 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
