| Entity Name: | HILL DERM PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 Nov 2018 (6 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 13 Feb 2019 (6 years ago) |
| Document Number: | P18000093293 |
| FEI/EIN Number | 83-2721653 |
| Address: | 3065 S. MELLONVILLE AVENUE, SANFORD, FL, 32773, US |
| Mail Address: | 3065 S. MELLONVILLE AVENUE, SANFORD, FL, 32773, US |
| ZIP code: | 32773 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | HILL DERM PHARMACY, INC., ALABAMA | 000-595-757 | ALABAMA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093276537 | 2019-03-27 | 2019-03-27 | 2650 S MELLONVILLE AVE, SANFORD, FL, 327739311, US | 3065 S. MELLONVILLE AVE STE B, SANFORD, FL, 32773, US | |||||||||||||||||||
|
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| Phone | +1 407-323-1887 |
| Fax | 4076499213 |
| Phone | +1 407-585-6060 |
| Fax | 4075856065 |
Authorized person
| Name | MR. JERRY S ROTH |
| Role | PRESIDENT |
| Phone | 4073231887 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ROTH LARRY M | Agent | 3065 S. MELLONVILLE AVENUE, SANFORD, FL, 32773 |
| Name | Role | Address |
|---|---|---|
| ROTH JERRY S | President | 3065 S. MELLONVILLE AVENUE, SANFORD, FL, 32773 |
| Name | Role | Address |
|---|---|---|
| ROTH JERRY S | Treasurer | 3065 S. MELLONVILLE AVENUE, SANFORD, FL, 32773 |
| Name | Role | Address |
|---|---|---|
| ROTH JERRY S | Vice President | 3065 S MELLONVILLE AVENUE, SANFORD, FL, 32773 |
| Name | Role | Address |
|---|---|---|
| ROTH JERRY S | Secretary | 3065 S MELLONVILLE AVENUE, SANFORD, FL, 32773 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-21 | 3065 S. MELLONVILLE AVENUE, Suite B, SANFORD, FL 32773 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-21 | 3065 S. MELLONVILLE AVENUE, Suite B, SANFORD, FL 32773 | No data |
| AMENDMENT | 2019-02-13 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-02-19 |
| Amendment | 2019-02-13 |
| Off/Dir Resignation | 2019-01-17 |
| Domestic Profit | 2018-11-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
