| Entity Name: | MEDLAB PHARMACY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 01 Mar 2017 (8 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | P17000020079 |
| FEI/EIN Number | 82-0643213 |
| Address: | 7300 W. Mcnab Rd., tamarac, FL, 33321, US |
| Mail Address: | 7300 W. Mcnab Rd., tamarac, FL, 33321, US |
| ZIP code: | 33321 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720503824 | 2017-08-09 | 2019-12-23 | 7300 W MCNAB RD STE 112, TAMARAC, FL, 333215329, US | 7300 W MCNAB RD STE 112, TAMARAC, FL, 333215329, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 954-400-0560 |
| Fax | 9546065260 |
| Fax | 9506065260 |
Authorized person
| Name | LATOYA GAYLE |
| Role | PHARMACIST |
| Phone | 9544000560 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH30893 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2170922 |
| Name | Role | Address |
|---|---|---|
| HAGARTY MARGUERITE | Agent | 7300 W Mcnab Rd. Ste 112, Tamarac, FL, 33321 |
| Name | Role | Address |
|---|---|---|
| HAGARTY MARGUERITE | President | 7300 W. Mcnab Rd. Ste 112, Tamarac, FL, 33321 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-17 | 7300 W Mcnab Rd. Ste 112, Tamarac, FL 33321 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-02-14 | 7300 W. Mcnab Rd., suite 112, tamarac, FL 33321 | No data |
| CHANGE OF MAILING ADDRESS | 2020-02-14 | 7300 W. Mcnab Rd., suite 112, tamarac, FL 33321 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-03-17 |
| ANNUAL REPORT | 2019-04-13 |
| ANNUAL REPORT | 2018-04-26 |
| Domestic Profit | 2017-03-01 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
