Entity Name: | GONZALEZ PHARMACY SERVICES, INC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 04 Aug 2016 (9 years ago) |
Document Number: | P16000064919 |
FEI/EIN Number | 81-5136274 |
Address: | 630 EAST 9TH STREET, HIALEAH, FL 33010 |
Mail Address: | 630 EAST 9TH STREET, HIALEAH, FL 33010 |
ZIP code: | 33010 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1861933004 | 2017-03-20 | 2017-04-10 | 630 E 9TH ST, HIALEAH, FL, 330104502, US | 630 E 9TH ST, HIALEAH, FL, 330104502, US | |||||||||||||||||||||||||||
|
Phone | +1 305-447-2785 |
Fax | 3054472985 |
Authorized person
Name | HANSEL GONZALEZ |
Role | PHARM.D. |
Phone | 3057988211 |
Taxonomy
Taxonomy Code | 333600000X - Pharmacy |
Is Primary | No |
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
License Number | PH30705 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | PK |
Number | 2168789 |
Name | Role | Address |
---|---|---|
GONZALEZ, HANSEL | Agent | 14811 DADE PINE AVE, MIAMI LAKES, FL 33014 |
Name | Role | Address |
---|---|---|
GONZALEZ, HANSEL | President | 630 East 9th street, HIALEAH, FL 33010 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2016-11-04 | 630 EAST 9TH STREET, HIALEAH, FL 33010 | No data |
CHANGE OF MAILING ADDRESS | 2016-11-04 | 630 EAST 9TH STREET, HIALEAH, FL 33010 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-05-01 |
ANNUAL REPORT | 2023-07-12 |
ANNUAL REPORT | 2022-04-30 |
ANNUAL REPORT | 2021-04-29 |
ANNUAL REPORT | 2020-06-16 |
ANNUAL REPORT | 2019-04-27 |
ANNUAL REPORT | 2018-06-21 |
ANNUAL REPORT | 2017-04-23 |
Domestic Profit | 2016-08-04 |
Date of last update: 19 Feb 2025
Sources: Florida Department of State