| Entity Name: | MALOOKA PHARMA CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 20 Jun 2017 (8 years ago) |
| Document Number: | P17000053938 |
| FEI/EIN Number | N/A |
| Address: | 8618 SR 70 E, BRADENTON, FL 34202 |
| Mail Address: | 8618 SR 70 E, BRADENTON, FL 34202 |
| ZIP code: | 34202 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346754777 | 2017-11-21 | 2018-06-11 | 8618 EAST SR 70, BRADENTON, FL, 34202, US | 8618 E STATE ROAD 70, BRADENTON, FL, 342023785, US | |||||||||||||||||||||||||||
|
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| Phone | +1 941-751-5000 |
| Fax | 9417515002 |
Authorized person
| Name | HAMED ABOUZEID |
| Role | OWNER |
| Phone | 9734798032 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH31161 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2177548 |
| Name | Role | Address |
|---|---|---|
| ABOUZEID, HAMED | Agent | 8618 SR 70 E, BRADENTON, FL 34202 |
| Name | Role | Address |
|---|---|---|
| ABOUZEID, HAMED | President | 8618 SR 70 E, BRADENTON, FL 34202 |
| Name | Role | Address |
|---|---|---|
| ABOUZEID, LAILA | Vice President | 8618 SR 70 E, BRADENTON, FL 34202 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000074810 | APOTHICARE AT LAKEWOOD RANCH | ACTIVE | 2019-07-09 | 2029-12-31 | No data | 8618 E STATE ROAD 70, BRADENTON, FL, 34202 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-04-21 | 8618 SR 70 E, BRADENTON, FL 34202 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-21 | 8618 SR 70 E, BRADENTON, FL 34202 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-02 |
| ANNUAL REPORT | 2023-01-09 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-05-08 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-05-03 |
| Domestic Profit | 2017-06-20 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
