Entity Name: | PHARMACY DISTRIBUTOR SERVICES, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 28 Aug 1996 (28 years ago) |
Document Number: | P96000071659 |
FEI/EIN Number | 650689543 |
Address: | 112 INTRACOASTAL POINTE DRIVE, JUPITER, FL, 33477, US |
Mail Address: | 112 INTRACOASTAL POINTE DRIVE, JUPITER, FL, 33477, US |
ZIP code: | 33477 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1346240702 | 2005-07-28 | 2020-08-22 | 112 INTRACOASTAL POINTE DR, JUPITER, FL, 334775063, US | 112 INTRACOASTAL POINTE DR, JUPITER, FL, 334775063, US | |||||||||||||||
|
Phone | +1 561-575-9477 |
Fax | 5615759940 |
Authorized person
Name | KIMBERLY R DECKARD |
Role | EXECUTIVE VICE PRESIDENT |
Phone | 5615759477 |
Taxonomy
Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
LYSAGHT JAMES | Agent | 444 MARINER DR., JUPITER, FL, 33477 |
Name | Role | Address |
---|---|---|
LYSAGHT JAMES | President | 444 MARINER DR., JUPITER, FL, 33477 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State