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  5. CREATIVE PHARMACY SERVICES, INC.

CREATIVE PHARMACY SERVICES, INC.

Company Details

Entity Name: CREATIVE PHARMACY SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 16 Jun 1993 (32 years ago)
Date of dissolution: 21 Jul 2010 (15 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 21 Jul 2010 (15 years ago)
Document Number: P93000042756
FEI/EIN Number 65-0489590
Mail Address: PO BOX 680010, MIAMI, FL 33168
Address: 9920 N.W. 27 AVE., MIAMI, FL 33147
ZIP code: 33147
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1942377932 2006-11-29 2020-08-22 9920 NW 27TH AVE, MIAMI, FL, 331472158, US 9920 NW 27TH AVE, MIAMI, FL, 331472158, US

Contacts
Phone +1 305-694-1852
Fax 3056938569

Authorized person
Name MR. WAYNE THOMAS WHITE
Role PHARMACY MANAGER
Phone 3056941853

Taxonomy
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number PH17448
State FL
Is Primary Yes

Other Provider Identifiers
Issuer NABP
Number 1091052

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CREATIVE PHARMACY SERVICES, INC. 401(K) PLAN 2013 650489590 2014-04-29 CREATIVE PHARMACY SERVICES, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 3056941852
Plan sponsor’s address PO BOX 680010, ATTN FRANCES GAITER, MIAMI, FL, 331680039

Signature of
Role Plan administrator
Date 2014-04-29
Name of individual signing WAYNE T WHITE
Valid signature Filed with authorized/valid electronic signature
CREATIVE PHARMACY SERVICES, INC. 401(K) PLAN 2013 650489590 2014-04-02 CREATIVE PHARMACY SERVICES, INC. 13
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 3056941852
Plan sponsor’s address PO BOX 680010, ATTN FRANCES GAITER, MIAMI, FL, 331680039

Signature of
Role Plan administrator
Date 2014-04-02
Name of individual signing FRANCES GAITER
Valid signature Filed with authorized/valid electronic signature
CREATIVE PHARMACY SERVICES, INC. 401(K) PLAN 2013 650489590 2014-04-02 CREATIVE PHARMACY SERVICES, INC. 13
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 3056941852
Plan sponsor’s address PO BOX 680010, ATTN FRANCES GAITER, MIAMI, FL, 331680039

Signature of
Role Plan administrator
Date 2014-04-02
Name of individual signing FRANCES GAITER
Valid signature Filed with authorized/valid electronic signature
CREATIVE PHARMACY SERVICES, INC. 401(K) PLAN 2012 650489590 2013-11-19 CREATIVE PHARMACY SERVICES, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 3056941852
Plan sponsor’s address PO BOX 680010, ATTN FRANCES GAITER, MIAMI, FL, 331680039

Signature of
Role Plan administrator
Date 2013-11-19
Name of individual signing FRANCES GAITOR
Valid signature Filed with authorized/valid electronic signature
CREATIVE PHARMACY SERVICES, INC. 401(K) PLAN 2011 650489590 2013-11-19 CREATIVE PHARMACY SERVICES, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 3056941852
Plan sponsor’s address PO BOX 680010, ATTN FRANCES GAITER, MIAMI, FL, 331680010

Plan administrator’s name and address
Administrator’s EIN 650489590
Plan administrator’s name CREATIVE PHARMACY SERVICES, INC.
Plan administrator’s address PO BOX 680010, ATTN FRANCES GAITER, MIAMI, FL, 331680010
Administrator’s telephone number 3056941852

Signature of
Role Plan administrator
Date 2013-11-19
Name of individual signing FRANCES GAITOR
Valid signature Filed with authorized/valid electronic signature
CREATIVE PHARMACY SERVICES, INC. 401(K) PLAN 2010 650489590 2011-10-17 CREATIVE PHARMACY SERVICES, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 3056941852
Plan sponsor’s address 9920 NW 27TH AVE, MIAMI, FL, 33147

Plan administrator’s name and address
Administrator’s EIN 650489590
Plan administrator’s name CREATIVE PHARMACY SERVICES, INC.
Plan administrator’s address 9920 NW 27TH AVE, MIAMI, FL, 33147
Administrator’s telephone number 3056941852

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing EDGARDO SAADE
Valid signature Filed with authorized/valid electronic signature
CREATIVE PHARMACY SERVICES, INC. 401(K) PLAN 2009 650489590 2010-09-29 CREATIVE PHARMACY SERVICES, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 3056941852
Plan sponsor’s address 9920 NW 27TH AVE, MIAMI, FL, 33147

Plan administrator’s name and address
Administrator’s EIN 650489590
Plan administrator’s name CREATIVE PHARMACY SERVICES, INC.
Plan administrator’s address 9920 NW 27TH AVE, MIAMI, FL, 33147
Administrator’s telephone number 3056941852

Signature of
Role Plan administrator
Date 2010-09-29
Name of individual signing WAYNE WHITE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GAITER, FRANCES W Agent 10800 NW 17TH AVENUE, MIAMI, FL 33167

Director

Name Role Address
GAITER, FRANCES Director 10800 NW 17TH AVENUE, MIAMI, FL 33167

President

Name Role Address
WHITE, WILLARD T President 10800 N.W. 17TH AVENUE, MIAMI, FL

Secretary

Name Role Address
GAITER, FRANCES Secretary 10800 NW 17TH AVE, MIAMI, FL 33167

Treasurer

Name Role Address
GAITER, FRANCES Treasurer 10800 NW 17TH AVE, MIAMI, FL 33167

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2010-07-21 No data No data
CHANGE OF MAILING ADDRESS 2004-02-04 9920 N.W. 27 AVE., MIAMI, FL 33147 No data
CHANGE OF PRINCIPAL ADDRESS 2000-10-31 9920 N.W. 27 AVE., MIAMI, FL 33147 No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J10000210143 TERMINATED 1000000135669 DADE 2009-08-26 2030-02-16 $ 6,000.00 STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI NORTH SERVICE CENTER, 8175 NW 12TH ST STE 119, MIAMI FL331261828

Documents

Name Date
Voluntary Dissolution 2010-07-21
ANNUAL REPORT 2010-01-31
ANNUAL REPORT 2009-02-04
ANNUAL REPORT 2008-01-28
ANNUAL REPORT 2007-01-31
ANNUAL REPORT 2006-02-08
ANNUAL REPORT 2005-01-12
ANNUAL REPORT 2004-02-04
ANNUAL REPORT 2003-01-16
ANNUAL REPORT 2002-02-13

Related by officers

GAITER, FRANCES W

MAXIMUM PHARMACEUTICAL SERVICES, INC.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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