| Entity Name: | PHARMACON, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 26 Jun 1995 (30 years ago) |
| Document Number: | P95000049643 |
| FEI/EIN Number | 65-0592019 |
| Address: | 160 SW 12TH AVE, 101-D, DEERFIELD BEACH, FL 33442 |
| Mail Address: | 160 SW 12TH AVE, 101-D, DEERFIELD BEACH, FL 33442 |
| ZIP code: | 33442 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457129496 | 2023-12-19 | 2024-06-05 | 3769 STEWART AVE, MIAMI, FL, 331336732, US | 160 SW 12TH AVE, DEERFIELD BEACH, FL, 334423119, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-582-7303 |
| Phone | +1 888-327-2233 |
| Fax | 8884394453 |
Authorized person
| Name | RICHARD D MOSS |
| Role | COO |
| Phone | 9547250222 |
Taxonomy
| Taxonomy Code | 2080P0206X - Pediatric Gastroenterology Physician |
| Is Primary | Yes |
| Taxonomy Code | 2080P0207X - Pediatric Hematology & Oncology Physician |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MOSS, RICHARD | Agent | 7001 NW 68TH MANOR, PARKLAND, FL 33067 |
| Name | Role | Address |
|---|---|---|
| MOSS, RICHARD | President | 160 SW 12TH AVE, DEERFIELD BEACH, FL 33442 |
| Gilman, Miles | President | 160 SW 12TH AVE, 101-D DEERFIELD BEACH, FL 33442 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000106018 | INTRACARE HEALTH SERVICES, INC. | ACTIVE | 2020-08-18 | 2025-12-31 | No data | 160 SW 12 AVENUE, 101D, DEERFIELD BEACH, FL, 33442 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2003-01-21 | 7001 NW 68TH MANOR, PARKLAND, FL 33067 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1998-08-19 | 160 SW 12TH AVE, 101-D, DEERFIELD BEACH, FL 33442 | No data |
| CHANGE OF MAILING ADDRESS | 1998-08-19 | 160 SW 12TH AVE, 101-D, DEERFIELD BEACH, FL 33442 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-02-20 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-01-10 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-01-22 |
| ANNUAL REPORT | 2015-01-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
