| Entity Name: | PILLS POTIONS & LOTIONS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 08 May 2017 (8 years ago) |
| Document Number: | P17000041428 |
| FEI/EIN Number | 82-1717216 |
| Mail Address: | 2860 SE MELALEUCA BLVD, PORT ST LUCIE, FL 34952 |
| Address: | 8701 S US Highway 1, PORT ST LUCIE, FL 34952 |
| ZIP code: | 34952 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114540770 | 2020-05-18 | 2020-05-18 | 8701 S US HIGHWAY 1, PORT ST LUCIE, FL, 349523333, US | 8701 S US HIGHWAY 1, PORT ST LUCIE, FL, 349523333, US | |||||||||||||||||||||
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| Phone | +1 772-301-1095 |
| Fax | 7723332728 |
Authorized person
| Name | DR. LYDELL MORRISON |
| Role | OWNER/PHARMACIST |
| Phone | 7723011095 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100812400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MORRISON, LYDELL | Agent | 2860 SE MELALUCA BLVD, PORT ST LUCIE, FL 34952 |
| Name | Role | Address |
|---|---|---|
| MORRISON, LYDELL | President | 2860 SW MELALEUCA BLVD, PORT ST LUUCIE, FL 34952 |
| Name | Role | Address |
|---|---|---|
| MORRISON, LYDELL | Treasurer | 2860 SE MELALEUCA BLVD, PORT ST LUCIE, FL 34953 |
| Name | Role | Address |
|---|---|---|
| MORRISON, LYDELL | Secretary | 2860 SE MELALEUCA BLVD, PORT ST LUCIE, FL 34953 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000137597 | CROSSTOWN PHARMACY | ACTIVE | 2020-10-23 | 2025-12-31 | No data | 8707 S US HIGHWAY 1, PORT ST LUCIE, FL, 34952 |
| G20000000285 | CROSSTOWN PHARMACY | ACTIVE | 2020-01-01 | 2025-12-31 | No data | 8701 S. US HIGHWAY 1, PORT ST. LUCIE, FL, 34952 |
| G18000079702 | BENZER PHARMACY | EXPIRED | 2018-07-24 | 2023-12-31 | No data | 2860 SW MELALEUCA BLVD, PORT ST LUCIE, FL, 34952 |
| G17000070053 | FIRST HEALTH PHARMACY | EXPIRED | 2017-06-27 | 2022-12-31 | No data | 2860 SE MELALEUCA BLVD, PORT SAINT LUCIE, FL, 34952 |
| G17000069093 | PILLS, POTIONS & LOTIONS PHARMACY | EXPIRED | 2017-06-23 | 2022-12-31 | No data | 2860 SE MELALEUCA BLVD, PORT ST LUCIE, FL, 34952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-08-31 | 8701 S US Highway 1, PORT ST LUCIE, FL 34952 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-22 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-04-30 |
| Domestic Profit | 2017-05-08 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
