Entity Name: | MARCO ISLAND PHARMACY, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 14 May 2015 (10 years ago) |
Date of dissolution: | 15 Jul 2022 (3 years ago) |
Last Event: | VOLUNTARY DISSOLUTION |
Event Date Filed: | 15 Jul 2022 (3 years ago) |
Document Number: | P15000043537 |
FEI/EIN Number | 47-3997361 |
Address: | 905 N. COLLIER BLVD., MARCO ISLAND, FL, 34145, US |
Mail Address: | 905 N. COLLIER BLVD., MARCO ISLAND, FL, 34145, US |
ZIP code: | 34145 |
County: | Collier |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1528431616 | 2015-11-11 | 2017-06-26 | 905 N COLLIER BLVD, MARCO ISLAND, FL, 341452742, US | 905 N COLLIER BLVD, MARCO ISLAND, FL, 341452742, US | |||||||||||||||||||||||||
|
Phone | +1 239-970-2490 |
Fax | 2399702761 |
Authorized person
Name | MR. HIEP PHAM |
Role | PRESIDENT, OWNER |
Phone | 2399702490 |
Taxonomy
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
License Number | PH29521 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BOARD OF PHARMACY LICENSE |
Number | PH29521 |
State | FL |
Name | Role | Address |
---|---|---|
PHAM HIEP | Agent | 905 N. COLLIER BLVD., MARCO ISLAND, FL, 34145 |
Name | Role | Address |
---|---|---|
PHAM HIEP | President | 905 N. COLLIER BLVD., MARCO ISLAND, FL, 34145 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2022-07-15 | No data | No data |
AMENDMENT | 2017-05-04 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2017-05-04 | PHAM, HIEP | No data |
REINSTATEMENT | 2016-11-28 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2016-11-28 | 905 N. COLLIER BLVD., MARCO ISLAND, FL 34145 | No data |
CHANGE OF MAILING ADDRESS | 2016-11-28 | 905 N. COLLIER BLVD., MARCO ISLAND, FL 34145 | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
Name | Date |
---|---|
VOLUNTARY DISSOLUTION | 2022-07-15 |
ANNUAL REPORT | 2021-04-30 |
ANNUAL REPORT | 2020-06-09 |
ANNUAL REPORT | 2019-04-26 |
ANNUAL REPORT | 2018-04-05 |
Off/Dir Resignation | 2017-05-04 |
Amendment | 2017-05-04 |
Reg. Agent Resignation | 2017-05-04 |
ANNUAL REPORT | 2017-03-25 |
REINSTATEMENT | 2016-11-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State