| Entity Name: | CUE PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 02 Dec 2015 (9 years ago) |
| Date of dissolution: | 24 Mar 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 24 Mar 2020 (5 years ago) |
| Document Number: | P15000097093 |
| FEI/EIN Number | 81-0761708 |
| Address: | 777 E 25TH ST, 120, HIALEAH, FL 33013 |
| Mail Address: | 777 E 25TH ST, 120, HIALEAH, FL 33013 |
| ZIP code: | 33013 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982061255 | 2016-01-18 | 2017-04-19 | 777 E 25TH ST, SUITE 120, HIALEAH, FL, 330133825, US | 777 E 25TH ST, SUITE 120, HIALEAH, FL, 330133825, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 305-696-5464 |
| Fax | 3056965191 |
Authorized person
| Name | JORGE SANTANA |
| Role | VP |
| Phone | 3056965464 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH29791 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2157623 |
| Issuer | MEDICAID |
| Number | 019960900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SANTANA, JORGE M | Agent | 777 E 25TH STREET, 120, HIALEAH, FL 33013 |
| Name | Role | Address |
|---|---|---|
| SANTANA, JORGE M | President | 777 E 25TH ST, 120 HIALEAH, FL 33013 |
| Name | Role | Address |
|---|---|---|
| SANTANA, JORGE M | Vice President | 17954 NW 59TH AVENUE, 102 HIALEAH, FL 33015 |
| Name | Role | Address |
|---|---|---|
| CUE, JAEL | Secretary | 17954 NW 59TH AVENUE, 102 HIALEAH, FL 33015 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000011759 | CUE PHARMACY 2 | EXPIRED | 2018-01-22 | 2023-12-31 | No data | 777 EAST 25TH STREET STE 120, HIALEAH, FL, 33013 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-03-24 | No data | No data |
| REINSTATEMENT | 2019-10-08 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-08 | SANTANA, JORGE M | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-22 | 777 E 25TH STREET, 120, HIALEAH, FL 33013 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-03-24 |
| REINSTATEMENT | 2019-10-08 |
| ANNUAL REPORT | 2018-01-22 |
| ANNUAL REPORT | 2017-04-25 |
| Domestic Profit | 2015-12-02 |
Date of last update: 19 Feb 2025
Sources: Florida Department of State
