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SEWALL'S POINT PHARMACY, INC.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
TOTTERMAN CRISTAL Agent 3754 SE OCEAN BLVD SUITE B, STUART, FL, 34996

President

Name Role Address
TOTTERMAN CRISTAL President 3754 SE OCEAN BLVD SUITE B, STUART, FL, 34996

Secretary

Name Role Address
TOTTERMAN CRISTAL Secretary 3754 SE OCEAN BLVD SUITE B, STUART, FL, 34996

Vice President

Name Role Address
TOTTERMAN LARS Vice President 3754 SE OCEAN BLVD SUITE B, STUART, FL, 34996

Treasurer

Name Role Address
TOTTERMAN LARS Treasurer 3754 SE OCEAN BLVD SUITE B, STUART, FL, 34996

Fictitious Names

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

Events

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

Documents

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