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LAKE EXPRESS PHARMACY INC.

Company Details

Entity Name: LAKE EXPRESS PHARMACY INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 01 Nov 2019 (5 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: P19000084995
FEI/EIN Number 84-3727419
Address: 25 DR MLK BLVD E, SUITE B, BELLE GLADE, FL 33430
Mail Address: 6308 GREBE COURT, LAKE WORTH, FL 33463
ZIP code: 33430
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295351203 2020-06-25 2020-06-25 6308 GREBE CT, LAKE WORTH, FL, 334639314, US 25 DR MLK BLVD E STE B, BELLE GLADE, FL, 334304044, US

Contacts

Phone +1 561-523-4161

Authorized person

Name MR. MUHAMMAD ILYAS
Role OWNER
Phone 5615234161

Taxonomy

Taxonomy Code 3336C0003X - Community/Retail Pharmacy
Is Primary Yes

Agent

Name Role Address
ILYAS, MUHAMMAD Agent 6308 GREBE COURT, LAKE WORTH, FL 33463

President

Name Role Address
ILYAS, MUHAMMAD President 6308 GREBE COURT, LAKE WORTH, FL 33463

Director

Name Role Address
ILYAS, MUHAMMAD Director 6308 GREBE COURT, LAKE WORTH, FL 33463

Treasurer

Name Role Address
ILYAS, MUHAMMAD Treasurer 6308 GREBE COURT, LAKE WORTH, FL 33463

Manager

Name Role Address
AHMAD, SAMIRA Manager 6308 GREBE COURT, LAKE WORTH, FL 33463

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
AMENDMENT 2020-07-20 No data No data

Documents

Name Date
ANNUAL REPORT 2022-04-25
ANNUAL REPORT 2021-03-14
Amendment 2020-07-20
ANNUAL REPORT 2020-01-18
Domestic Profit 2019-11-01

Date of last update: 16 Jan 2025

Sources: Florida Department of State