| Entity Name: | MOULTON'S PHARMACY OF CRESTVIEW, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Mar 2016 (9 years ago) |
| Document Number: | P16000026378 |
| FEI/EIN Number | 81-1889882 |
| Address: | 648 N FERDON BLVD, CRESTVIEW, FL, 32536, US |
| Mail Address: | 648 N FERDON BLVD, CRESTVIEW, FL, 32536, US |
| ZIP code: | 32536 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871947499 | 2016-04-20 | 2016-04-20 | 648 N FERDON BLVD, CRESTVIEW, FL, 325362165, US | 648 N FERDON BLVD, CRESTVIEW, FL, 325362165, US | |||||||||||||||||
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| Phone | +1 850-682-6136 |
| Fax | 8506826185 |
Authorized person
| Name | DOYLE WILLIAM EDMONDSON JR. |
| Role | PRESIDENT |
| Phone | 8506826136 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HOLLOWAY JONATHAN T | Agent | 369 N MAIN ST, CRESTVIEW, FL, 32536 |
| Name | Role | Address |
|---|---|---|
| EDMONDSON DOYLE WJR. | President | 648 N FERDON BLVD, CRESTVIEW, FL, 32536 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-10 |
| ANNUAL REPORT | 2023-04-18 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-20 |
| ANNUAL REPORT | 2020-03-07 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-04-20 |
| Domestic Profit | 2016-03-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
