| Entity Name: | CORAL WEST PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 10 Sep 1996 (28 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P96000075144 |
| FEI/EIN Number | 650691205 |
| Address: | 7245 S.W. 24TH ST, MIAMI, FL, 33155 |
| Mail Address: | 7245 S.W. 24TH ST, MIAMI, FL, 33155 |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912972639 | 2006-02-17 | 2009-11-25 | 7245 CORAL WAY, MIAMI, FL, 331551401, US | 7245 CORAL WAY, MIAMI, FL, 331551401, US | |||||||||||||||||||||||||
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| Phone | +1 305-261-1234 |
| Fax | 3052617221 |
Authorized person
| Name | MR. NORIEL BATISTA |
| Role | OWNER |
| Phone | 3052611234 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH14227 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 103959800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BATISTA NORIEL | Agent | 7245 S.W. 24TH ST, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| BATISTA NORIEL | President | 7245 S.W. 24TH ST, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| BATISTA NORIEL | Director | 7245 S.W. 24TH ST, MIAMI, FL, 33155 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| REINSTATEMENT | 2010-10-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CANCEL ADM DISS/REV | 2008-11-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2005-04-29 | BATISTA, NORIEL | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2000-08-01 | 7245 S.W. 24TH ST, MIAMI, FL 33155 | No data |
| CHANGE OF MAILING ADDRESS | 2000-08-01 | 7245 S.W. 24TH ST, MIAMI, FL 33155 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2000-08-01 | 7245 S.W. 24TH ST, MIAMI, FL 33155 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-29 |
| REINSTATEMENT | 2010-10-07 |
| ANNUAL REPORT | 2009-07-13 |
| REINSTATEMENT | 2008-11-18 |
| ANNUAL REPORT | 2007-05-01 |
| ANNUAL REPORT | 2006-04-27 |
| ANNUAL REPORT | 2005-04-29 |
| ANNUAL REPORT | 2004-08-30 |
| ANNUAL REPORT | 2003-01-09 |
| ANNUAL REPORT | 2002-03-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
