| Entity Name: | EAST HILL PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Dec 1995 (29 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 12 Jul 2022 (3 years ago) |
| Document Number: | P95000097625 |
| FEI/EIN Number | 593352427 |
| Address: | 2899 N 12TH AVE, PENSACOLA, FL, 32503 |
| Mail Address: | 2899 N 12TH AVE, PENSACOLA, FL, 32503 |
| ZIP code: | 32503 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932275690 | 2006-11-27 | 2023-09-15 | 2899 N 12TH AVE, PENSACOLA, FL, 325034001, US | 2899 N 12TH AVE, PENSACOLA, FL, 325034001, US | |||||||||||||||||||||||
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| Phone | +1 850-438-7568 |
| Fax | 8504380683 |
Authorized person
| Name | DENA FERMAN |
| Role | THIRD PARTY PLAN COORDINATOR |
| Phone | 3149936000 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH13368 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | OTHER ID NUMBER |
| Number | 1025798 |
| Name | Role | Address |
|---|---|---|
| GRIMM MCCLELLAN L | Agent | 2899 N 12TH AVENUE, PENSACOLA, FL, 32502 |
| Name | Role | Address |
|---|---|---|
| GRIMM MCCLELLAN L | President | 2899 N 12TH AVENUE, PENSACOLA, FL, 32503 |
| Name | Role | Address |
|---|---|---|
| GRIMM MCCLELLAN L | Secretary | 2899 N 12TH AVENUE, PENSACOLA, FL, 32503 |
| Name | Role | Address |
|---|---|---|
| GRIMM MCCLELLAN L | Treasurer | 2899 N 12TH AVENUE, PENSACOLA, FL, 32503 |
| Name | Role | Address |
|---|---|---|
| GRIMM MCCLELLAN L | Director | 2899 N 12TH AVENUE, PENSACOLA, FL, 32503 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-01-24 | GRIMM, MCCLELLAN L | No data |
| AMENDMENT | 2022-07-12 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-07-12 | 2899 N 12TH AVENUE, PENSACOLA, FL 32502 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-03-14 | 2899 N 12TH AVE, PENSACOLA, FL 32503 | No data |
| CHANGE OF MAILING ADDRESS | 2007-03-14 | 2899 N 12TH AVE, PENSACOLA, FL 32503 | No data |
| NAME CHANGE AMENDMENT | 1997-06-05 | EAST HILL PHARMACY, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-31 |
| ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2023-01-24 |
| Amendment | 2022-07-12 |
| ANNUAL REPORT | 2022-02-07 |
| ANNUAL REPORT | 2021-02-15 |
| ANNUAL REPORT | 2020-03-08 |
| ANNUAL REPORT | 2019-02-24 |
| ANNUAL REPORT | 2018-02-22 |
| ANNUAL REPORT | 2017-03-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
