| Entity Name: | BURKLOW PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
BURKLOW PHARMACY, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 14 May 1997 (28 years ago) |
| Date of dissolution: | 23 Sep 2022 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (3 years ago) |
| Document Number: | P97000043740 |
| FEI/EIN Number |
593445181
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2514 Wallace Lake Road, PACE, FL, 32571, US |
| Mail Address: | 2514 Wallace Lake Road, PACE, FL, 32571, US |
| ZIP code: | 32571 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073558250 | 2006-06-19 | 2016-03-29 | 4880 WOODBINE RD, PACE, FL, 325718762, US | 4880 WOODBINE RD, PACE, FL, 325718762, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 850-995-9999 |
| Fax | 8509950095 |
Authorized person
| Name | STEVE BURKLOW |
| Role | PRESIDENT, PIC |
| Phone | 8502931011 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH15761 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2010633 |
| Issuer | MEDICAID |
| Number | 106315400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BURKLOW STEPHEN A | Vice President | 2514 Wallace Lake Road, PACE, FL, 32571 |
| BURKLOW MONIQUE H | President | 2514 Wallace Lake Road, PACE, FL, 32571 |
| Sport and Wheat CPA | Agent | 2514 Wallace Lake Rd., Milton, FL, 32571 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000093104 | AMERICAN PHARMACY SOLUTIONS | EXPIRED | 2010-10-11 | 2015-12-31 | - | 5001 COMMERCE PARK CIRCLE, PENSACOLA, FL, 32505 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-05-20 | 2514 Wallace Lake Road, PACE, FL 32571 | - |
| REGISTERED AGENT NAME CHANGED | 2020-05-20 | Sport and Wheat CPA | - |
| CHANGE OF MAILING ADDRESS | 2019-07-29 | 2514 Wallace Lake Road, PACE, FL 32571 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-07-29 | 2514 Wallace Lake Rd., Milton, FL 32571 | - |
| AMENDMENT | 2008-05-16 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J19000586451 | LAPSED | 2017-CA-292 | SANTA ROSA COUNTY CIRCUIT COUR | 2019-02-07 | 2024-09-09 | $122,423.00 | EBF PARTNERS LLC, 8200 NW 52ND TERRACE, 2ND FLOOR, MIAMI, FL 33166 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-16 |
| ANNUAL REPORT | 2020-05-20 |
| ANNUAL REPORT | 2019-07-29 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-04-22 |
| ANNUAL REPORT | 2015-04-08 |
| ANNUAL REPORT | 2014-04-21 |
| ANNUAL REPORT | 2013-04-15 |
| Off/Dir Resignation | 2012-05-04 |
| FAIN | Awarding Agency | Assistance Listings | Start Date | End Date | Description | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3280316005 | Small Business Administration | 59.012 - 7(A) LOAN GUARANTEES | - | - | TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE | |||||||||||||||||||
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Date of last update: 01 May 2025
Sources: Florida Department of State
