PHYSICIANS CHOICE RESPIRATORY PHARMACY, INC.
Suppliers at Village Green Dr, Fort Pierce, FL

License number
Florida PH21085
Category
Suppliers
Type
Specialty Pharmacy
Owner
Name: STEVE MAMANGAKIS
Title: PRESIDENT
Phone: (561) 239-7837
Address
Address 2
1532 SE Village Green Dr UNIT O, Fort Pierce, FL 34952
4267 NW Federal Hwy SUITE 173, Jensen Beach, FL 34957
National Provider ID: 1346310844
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PHYSICIANS CHOICE RESPIRATORY PHARMACY, INC

Gulfport, MS  -  Fort Pierce, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jan 13, 2003
Inactive since:
Sep 24, 2010
Addresses:
2318 E Pass Rd SUITE C, Gulfport, MS 39507 (Physical)
1532 SE Vlg Grn Dr, Port Saint Lucie, FL 34952 (Mailing)
State ID:
P03000006187
Business type:
Florida Profit Corporation
Treasurer, Secretarys:
Steve Mamangakis President, Vice President, inactive, 1767 NW Palmetto Ter, Stuart, FL 34994 (Physical),Maria Mamangakis Treasurer, Secretary, inactive, 1767 NW Palmetto Ter, Stuart, FL 34994 (Physical)
Agent:
Steven Mamangakis,1532 SE Vlg Grn Dr, Port Saint Lucie, FL 34952 (Physical)
EIN:
81-0594664

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