| Entity Name: | MEDWINS PHARMACY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 25 Aug 2014 (10 years ago) |
| Document Number: | P14000071529 |
| FEI/EIN Number | 47-1639082 |
| Address: | 740 MAIN STREET WEST, BLDG 1, UNIT 5, haines city, FL 33844 |
| Mail Address: | 740 MAIN STREET WEST, BLDG 1, UNIT 5, haines city, FL 33844 |
| ZIP code: | 33844 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427365972 | 2010-09-03 | 2022-05-13 | 740 W MAIN ST, HAINES CITY, FL, 338444116, US | 740 W MAIN ST, HAINES CITY, FL, 338444116, US | |||||||||||||||||||||||||||
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| Phone | +1 863-419-7777 |
| Fax | 8634197772 |
Authorized person
| Name | ABISH THOMAS |
| Role | PHARMACY MANAGER |
| Phone | 8634197777 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 015039200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Gulati Law,PL | Agent | 479 Montgomery PL, Altamonte Springs, FL 32714 |
| Name | Role | Address |
|---|---|---|
| KOLLA, AJAY | MANAGER | 740 MAIN STREET WEST, BLDG 1 UNIT 5 haines city, FL 33844 |
| Name | Role | Address |
|---|---|---|
| NALAGANDLA, VAMSEE | MEMBER | 740 west main street, unit 5 haines city, FL 33844 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000018844 | CENTRAL PHARMACY | ACTIVE | 2015-02-20 | 2025-12-31 | No data | 740 MAIN STREET WEST, BLDG 1 UNIT 5, HAINES CITY, FL, 33844 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-04-11 | Gulati Law,PL | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-11 | 479 Montgomery PL, Altamonte Springs, FL 32714 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-05 | 740 MAIN STREET WEST, BLDG 1, UNIT 5, haines city, FL 33844 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-05 | 740 MAIN STREET WEST, BLDG 1, UNIT 5, haines city, FL 33844 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-15 |
| ANNUAL REPORT | 2023-03-11 |
| ANNUAL REPORT | 2022-04-16 |
| ANNUAL REPORT | 2021-04-11 |
| ANNUAL REPORT | 2020-03-02 |
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-03-01 |
| ANNUAL REPORT | 2017-01-04 |
| ANNUAL REPORT | 2016-03-27 |
| ANNUAL REPORT | 2015-02-12 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
