Entity Name: | SEWALL'S POINT PHARMACY, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 03 Feb 2020 (5 years ago) |
Last Event: | AMENDMENT |
Event Date Filed: | 09 Jun 2020 (5 years ago) |
Document Number: | P20000011730 |
FEI/EIN Number | 84-4685520 |
Address: | 3754 SE OCEAN BLVD SUITE B, STUART, FL, 34996, US |
Mail Address: | 3754 SE OCEAN BLVD SUITE B, STUART, FL, 34996, US |
ZIP code: | 34996 |
County: | Martin |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1780210179 | 2020-03-17 | 2021-02-06 | 3754 SE OCEAN BLVD STE B, STUART, FL, 349966700, US | 3754 SE OCEAN BLVD STE B, STUART, FL, 349966700, US | |||||||||||||||||||||||||||||
|
Phone | +1 772-600-8077 |
Fax | 7726005576 |
Authorized person
Name | CRISTAL TOTTERMAN |
Role | PRESIDENT |
Phone | 7726008077 |
Taxonomy
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
Is Primary | Yes |
Taxonomy Code | 3336C0004X - Compounding Pharmacy |
Is Primary | No |
Other Provider Identifiers
Issuer | STATE BOARD OF PHARMACY |
Number | PH32759 |
State | FL |
Issuer | NCPDP |
Number | 5744671 |
Name | Role | Address |
---|---|---|
TOTTERMAN CRISTAL | Agent | 3754 SE OCEAN BLVD SUITE B, STUART, FL, 34996 |
Name | Role | Address |
---|---|---|
TOTTERMAN CRISTAL | President | 3754 SE OCEAN BLVD SUITE B, STUART, FL, 34996 |
Name | Role | Address |
---|---|---|
TOTTERMAN CRISTAL | Secretary | 3754 SE OCEAN BLVD SUITE B, STUART, FL, 34996 |
Name | Role | Address |
---|---|---|
TOTTERMAN LARS | Vice President | 3754 SE OCEAN BLVD SUITE B, STUART, FL, 34996 |
Name | Role | Address |
---|---|---|
TOTTERMAN LARS | Treasurer | 3754 SE OCEAN BLVD SUITE B, STUART, FL, 34996 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G21000066540 | SEWALL'S POINT PHARMACY & COMPOUNDING | ACTIVE | 2021-05-15 | 2026-12-31 | No data | 3754 SE OCEAN BLVD, STE B, STUART, FL, 34996 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT ADDRESS CHANGED | 2021-04-08 | 3754 SE OCEAN BLVD SUITE B, STUART, FL 34996 | No data |
AMENDMENT | 2020-06-09 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2020-06-09 | 3754 SE OCEAN BLVD SUITE B, STUART, FL 34996 | No data |
CHANGE OF MAILING ADDRESS | 2020-06-09 | 3754 SE OCEAN BLVD SUITE B, STUART, FL 34996 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-21 |
ANNUAL REPORT | 2023-04-13 |
ANNUAL REPORT | 2022-02-23 |
ANNUAL REPORT | 2021-04-08 |
Amendment | 2020-06-09 |
Domestic Profit | 2020-02-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State