Entity Name: | FORMULA PHARMACY,INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 27 Jan 2014 (11 years ago) |
Document Number: | P14000008116 |
FEI/EIN Number | 46-4626528 |
Address: | 11180 WEST FLAGLER STREET, 2, MIAMI, FL, 33174, US |
Mail Address: | 11180 WEST FLAGLER STREET, 2, MIAMI, FL, 33174, US |
ZIP code: | 33174 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1861817728 | 2014-02-28 | 2015-12-01 | 11180 W FLAGLER ST STE 2, MIAMI, FL, 331741250, US | 11180 W FLAGLER ST STE 2, MIAMI, FL, 331741250, US | |||||||||||||||||||||||
|
Phone | +1 305-381-5635 |
Fax | 3053815971 |
Authorized person
Name | DAVID RICARDO ESPINOSA |
Role | PRESIDENT |
Phone | 3053815635 |
Taxonomy
Taxonomy Code | 333600000X - Pharmacy |
License Number | PH27582 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | FL BOARD OF PHARMACY |
Number | PH27582 |
Name | Role | Address |
---|---|---|
ESPINOSA DAVID R | Agent | 11180 WEST FLAGLER ST, MIAMI, FL, 33174 |
Name | Role | Address |
---|---|---|
ESPINOSA DAVID R | President | 11180 WEST FLAGLER STREET SUITE 2, MIAMI, FL, 33174 |
Name | Role | Address |
---|---|---|
DIAZ YOANNA | Vice President | 11180 WEST FLAGLER STREET, MIAMI, FL, 33174 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-06 |
ANNUAL REPORT | 2023-01-18 |
ANNUAL REPORT | 2022-01-05 |
ANNUAL REPORT | 2021-01-05 |
ANNUAL REPORT | 2020-01-22 |
ANNUAL REPORT | 2019-01-14 |
ANNUAL REPORT | 2018-01-10 |
ANNUAL REPORT | 2017-01-16 |
ANNUAL REPORT | 2016-01-15 |
ANNUAL REPORT | 2015-01-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State