| Entity Name: | FARMACIA 22-24 HIALEAH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Apr 1994 (31 years ago) |
| Document Number: | P94000030847 |
| FEI/EIN Number | 650497391 |
| Address: | 2961 W 12TH AVE, HIALEAH, FL, 33012, US |
| Mail Address: | 2961 W 12TH AVE, HIALEAH, FL, 33012, US |
| ZIP code: | 33012 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669566287 | 2006-10-03 | 2022-10-11 | 2961 WEST 12 AV, HIALEAH, FL, 33012, US | 2961 WEST 12 AV, HIALEAH, FL, 33012, US | |||||||||||||||||||||||||
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| Phone | +1 305-888-2224 |
| Fax | 3058859918 |
Authorized person
| Name | FRANCISCO A ORTEGA |
| Role | PHARMACY MANAGER |
| Phone | 3058882224 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH0013957 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 025442800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ORTEGA NUBIA | Agent | 2750 SW 128 AVE, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| ORTEGA NUBIA | President | 2750 SW 128 AVE, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| ORTEGA RENE | Treasurer | 5431 SW 150TH CT, MIAMI, FL, 33185 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2008-04-28 | 2750 SW 128 AVE, MIAMI, FL 33175 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1996-05-01 | 2961 W 12TH AVE, HIALEAH, FL 33012 | No data |
| CHANGE OF MAILING ADDRESS | 1996-05-01 | 2961 W 12TH AVE, HIALEAH, FL 33012 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-03-27 |
| ANNUAL REPORT | 2022-03-19 |
| ANNUAL REPORT | 2021-04-01 |
| ANNUAL REPORT | 2020-03-21 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-04-22 |
| ANNUAL REPORT | 2017-03-05 |
| ANNUAL REPORT | 2016-03-10 |
| ANNUAL REPORT | 2015-03-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
