LIFE PHARMA CORP - Florida Company Profile

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Company Details

Entity Name:	LIFE PHARMA CORP
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit
Status:	Active
Date Filed:	22 Aug 2022 (3 years ago)
Last Event:	REINSTATEMENT
Event Date Filed:	29 Feb 2024 (a year ago)
Document Number:	P22000066112
FEI/EIN Number	NOT APPLICABLE
Address:	1109 NW 22 AVE, MIAMI, FL, 33125
Mail Address:	1109 NW 22 AVE, MIAMI, FL, 33125
ZIP code:	33125
City:	Miami
County:	Miami-Dade
Place of Formation:	FLORIDA

Key Officers & Management

Name	Role	Address
HERNANDEZ JORGE L	Agent	1109 NW 22 AVE, MIAMI, FL, 33125
HERNANDEZ LARA JORGE L	President	1109 NW 22 AVENUE, MIAMI, FL, 33125

National Provider Identifier

NPI Number:

1962123778

Certification Date:

2022-12-09

Link:

View on NPI website

Authorized Person:

Name:

JORGE L HERNANDEZ LARA

Role:

PRESIDENT

Phone:

3056461111

Taxonomy:

Selected Taxonomy:

3336C0003X - Community/Retail Pharmacy

Is Primary:

Yes

Contacts:

Phone:

+1 305-646-1111

Fax:

7867031242

Fictitious Names

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G24000045463	MAR-LAC PHARMACY DISCOUNT & SUPPLY	ACTIVE	2024-04-02	2029-12-31	-	1109 NW 22 AVE, MIAMI, FL, 33125

Events

Event Type	Filed Date	Value	Description
REINSTATEMENT	2024-02-29	-	-
REGISTERED AGENT NAME CHANGED	2024-02-29	HERNANDEZ, JORGE L	-
ADMIN DISSOLUTION FOR ANNUAL REPORT	2023-09-22	-	-
AMENDMENT	2022-11-28	-	-
AMENDMENT	2022-11-01	-	-
AMENDMENT	2022-08-29	-	-

Documents

Name	Date
REINSTATEMENT	2024-02-29
Amendment	2022-11-28
Amendment	2022-11-01
Amendment	2022-08-29
Domestic Profit	2022-08-22

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Date of last update: 01 Aug 2025

Sources: Florida Department of State