| Entity Name: | PAL LABORATORIES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 28 Aug 1995 (29 years ago) |
| Document Number: | P95000066522 |
| FEI/EIN Number | 650644731 |
| Address: | 3075 N.W. 107TH AVENUE, MIAMI, FL, 33172, US |
| Mail Address: | 3075 N.W. 107TH AVENUE, MIAMI, FL, 33172, US |
| ZIP code: | 33172 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063550325 | 2007-02-01 | 2020-08-22 | 10655 NW 29TH TER, DORAL, FL, 331722197, US | 10655 NW 29TH TER, DORAL, FL, 331722197, US | |||||||||||||||||||||||||
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| Phone | +1 305-463-2289 |
| Fax | 3054632262 |
Authorized person
| Name | MAYRA GONZALEZ-ABREU |
| Role | PHARMACY MANAGER |
| Phone | 3054632289 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH0018008 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NABP |
| Number | 1079272 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ ODELIN | Agent | 3075 NW 107TH AVENUE, MIAMI, FL, 33172 |
| Name | Role | Address |
|---|---|---|
| DE CESPEDES CARLOS M | Director | 3075 N.W. 107TH AVENUE, MIAMI, FL, 33172 |
| DE CESPEDES JORGE L | Director | 3075 N.W. 107TH AVENUE, MIAMI, FL, 33172 |
| Name | Role | Address |
|---|---|---|
| DE CESPEDES CARLOS M | Chief Executive Officer | 3075 N.W. 107TH AVENUE, MIAMI, FL, 33172 |
| Name | Role | Address |
|---|---|---|
| DE CESPEDES JORGE L | Chief Operating Officer | 3075 N.W. 107TH AVENUE, MIAMI, FL, 33172 |
| Name | Role | Address |
|---|---|---|
| GUERRA MARCOS A | Chief Financial Officer | 3075 N.W. 107TH AVENUE, MIAMI, FL, 33172 |
| Name | Role | Address |
|---|---|---|
| LOPEZ ROGELIO | President | 3075 NW 107 AVE, MIAMI, FL, 33172 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ ODELIN | SCO | 3075 NW 107TH AVE., MIAMI, FL, 33172 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| MERGER | 2001-08-01 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 700000037957 |
| MERGER NAME CHANGE | 2001-08-01 | PAL LABORATORIES, INC. | CORPORATE NAME CHANGE WAS A RESULT OF A MERGER. |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
