| Entity Name: | SUREHEALTH PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 28 Aug 2015 (9 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P15000073135 |
| FEI/EIN Number | 47-5136146 |
| Address: | 7945 NW 2ND STREET, MIAMI, FL, 33126, US |
| Mail Address: | 7945 NW 2ND STREET, MIAMI, FL, 33126, US |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982060869 | 2016-01-08 | 2018-07-19 | 7945 NW 2ND ST, MIAMI, FL, 331268000, US | 7945 NW 2ND ST, MIAMI, FL, 331268000, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 786-212-1015 |
| Fax | 7862121731 |
Authorized person
| Name | OLURONKE OLUFIDIPE |
| Role | PHARMACIST-IN-CHARGE/OWNER |
| Phone | 7862121015 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | 31650 |
| State | TX |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH29857 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 017620900 |
| State | FL |
| Issuer | PK |
| Number | 2158548 |
| Name | Role |
|---|---|
| CHUCK MOGBO, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| ADENIYI ADEBAYO | President | 7945 NW 2ND STREET, MIAMI, FL, 33126 |
| Name | Role | Address |
|---|---|---|
| ADENIYI ADEBAYO | Director | 7945 NW 2ND STREET, MIAMI, FL, 33126 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| AMENDMENT | 2019-02-19 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-12-02 | 7945 NW 2ND STREET, MIAMI, FL 33126 | No data |
| CHANGE OF MAILING ADDRESS | 2015-12-02 | 7945 NW 2ND STREET, MIAMI, FL 33126 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-29 |
| Amendment | 2019-02-19 |
| Off/Dir Resignation | 2019-02-19 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-04-10 |
| ANNUAL REPORT | 2016-05-01 |
| Domestic Profit | 2015-08-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
