| Entity Name: | THREE OAKS PHARMACY, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Jun 2017 (8 years ago) |
| Document Number: | P17000054354 |
| FEI/EIN Number | 821969617 |
| Address: | BONITA PHARMACY, 10347 BONITA BEACH ROAD SE#117, BONITA SPRINGS, FL, 34135, US |
| Mail Address: | BONITA PHARMACY, 10347 BONITA BEACH ROAD SE#117, BONITA SPRINGS, FL, 34135, US |
| ZIP code: | 34135 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013434265 | 2017-08-28 | 2021-04-21 | 10347 BONITA BEACH RD SE UNIT 117, BONITA SPRINGS, FL, 341354817, US | 10347 BONITA BEACH RD SE UNIT 117, BONITA SPRINGS, FL, 341354817, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 239-221-8884 |
| Phone | +1 973-461-6737 |
Authorized person
| Name | MR. DAIVIK K SHAH |
| Role | PRESIDENT |
| Phone | 2392218884 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH30936 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Shah Daivik | Agent | BONITA PHARMACY, BONITA SPRINGS, FL, 34135 |
| Name | Role | Address |
|---|---|---|
| SHAH DAIVIK K | President | BONITA PHARMACY, BONITA SPRINGS, FL, 34135 |
| Name | Role | Address |
|---|---|---|
| CHAUDHARI BHAVANA | Vice President | BONITA PHARMACY, BONITA SPRINGS, FL, 34135 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000069603 | THREE OAKS PHARMACY | EXPIRED | 2017-06-26 | 2022-12-31 | No data | 6576 PLANTATION PRESERVE CIRCLE N, FORT MYERS, FL, 33966 |
| G17000069308 | BONITA PHARMACY | ACTIVE | 2017-06-24 | 2027-12-31 | No data | 10347 BONITA BEACH ROAD SE#117, BONITA SPRINGS, FL, 34135 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-01-26 | BONITA PHARMACY, 10347 BONITA BEACH ROAD SE#117, BONITA SPRINGS, FL 34135 | No data |
| CHANGE OF MAILING ADDRESS | 2019-01-26 | BONITA PHARMACY, 10347 BONITA BEACH ROAD SE#117, BONITA SPRINGS, FL 34135 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-01-26 | BONITA PHARMACY, 10347 BONITA BEACH ROAD SE#117, BONITA SPRINGS, FL 34135 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-01-07 | Shah, Daivik | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-08 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-22 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-01-26 |
| ANNUAL REPORT | 2018-01-07 |
| Domestic Profit | 2017-06-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
