| Entity Name: | SOUTHWEST RETAIL PHARMACY CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 22 Jul 2014 (11 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P14000061466 |
| FEI/EIN Number | 47-1396300 |
| Address: | 27391 S Dixie Hwy, Naranja, FL, 33032, US |
| Mail Address: | 27391 S Dixie Hwy, Naranja, FL, 33032, US |
| ZIP code: | 33032 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952794695 | 2015-03-05 | 2015-03-05 | 27391 S DIXIE HWY, NARANJA, FL, 330328210, US | 27391 S DIXIE HWY, NARANJA, FL, 330328210, US | |||||||||||||||||||||||||||
|
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| Phone | +1 305-224-5958 |
| Fax | 7865815429 |
Authorized person
| Name | RAFAEL CANCIO |
| Role | PRESIDENT |
| Phone | 3052245958 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH28327 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2150428 |
| Name | Role | Address |
|---|---|---|
| LAZAGA EDEL | Agent | 27391 S Dixie Hwy, Naranja, FL, 33032 |
| Name | Role | Address |
|---|---|---|
| LAZAGA EDEL | President | 27391 S Dixie Hwy, Naranja, FL, 33032 |
| Name | Role | Address |
|---|---|---|
| LAZAGA EDEL | Secretary | 27391 S Dixie Hwy, Naranja, FL, 33032 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-01-04 | LAZAGA, EDEL | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-01-08 | 27391 S Dixie Hwy, Naranja, FL 33032 | No data |
| CHANGE OF MAILING ADDRESS | 2015-01-08 | 27391 S Dixie Hwy, Naranja, FL 33032 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-01-08 | 27391 S Dixie Hwy, Naranja, FL 33032 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J16000668073 | TERMINATED | 1000000723919 | DADE | 2016-10-05 | 2036-10-13 | $ 2,980.08 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-01-04 |
| ANNUAL REPORT | 2015-01-08 |
| Domestic Profit | 2014-07-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
