| Entity Name: | MAGELLAN PHARMACY SOLUTIONS, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Foreign |
| Status: | Withdrawn |
| Sub status: | Annual report past due |
| Date Formed: | 25 Sep 2012 |
| Business ALEI: | 1084248 |
| Annual report due: | 25 Sep 2023 |
| NAICS code: | 621498 - All Other Outpatient Care Centers |
| Business address: | 8621 ROBERT FULTON DRIVE, COLUMBIA, MD, 21046, United States |
| Mailing address: | 2900 AMES CROSSING ROAD, EAGAN, MN, 55121 |
| Place of Formation: | DELAWARE |
| E-Mail: | cnguillot@magellanhealth.com |
| Name | Role | Business address |
|---|---|---|
| Secretary of State | Agent | 165 Capitol Ave., P.O. BOX 150470, Hartford, CT, 06115-0470, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Teresa Alcorn | Director | 8621 ROBERT FULTON DRIVE, COLUMBIA, MD, 21046, United States | 8621 ROBERT FULTON DRIVE, COLUMBIA, MD, 21046, United States |
| Derrick Duke | Director | 8621 Robert Fulton Dr, Columbia, MD, 21046-2620, United States | 8621 ROBERT FULTON DRIVE, COLUMBIA, MD, 21046, United States |
| Michael McQuillen | Director | 8621 ROBERT FULTON DRIVE, COLUMBIA, MD, 21046, United States | 8621 Robert Fulton Dr, Columbia, MD, 21046-2620, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Kristen Tveit | Officer | 8621 ROBERT FULTON DRIVE, COLUMBIA, MD, 21046, United States | 8621 ROBERT FULTON DRIVE, COLUMBIA, MD, 21046, United States |
| Derrick Duke | Officer | 8621 Robert Fulton Dr, Columbia, MD, 21046-2620, United States | 8621 ROBERT FULTON DRIVE, COLUMBIA, MD, 21046, United States |
| Camille Guillot | Officer | 8621 ROBERT FULTON DRIVE, COLUMBIA, MD, 21046, United States | 8621 ROBERT FULTON DRIVE, COLUMBIA, MD, 21046, United States |
| Michael McQuillen | Officer | 8621 ROBERT FULTON DRIVE, COLUMBIA, MD, 21046, United States | 8621 Robert Fulton Dr, Columbia, MD, 21046-2620, United States |
| MOSTAFA KAMAL | Officer | 8621 Robert Fulton Dr, Columbia, MD, 21046-2620, United States | 2 - 2ND STREET, UNIT 1705, JERSEY CITY, NJ, 07302, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0011538482 | 2022-12-21 | 2022-12-21 | Withdrawal | Certificate of Withdrawal | No data |
| BF-0010232846 | 2022-09-21 | No data | Annual Report | Annual Report | 2022 |
| BF-0010456049 | 2022-01-14 | 2022-01-14 | Mass Agent Change � Address | Agent Address Change | No data |
| BF-0009815215 | 2021-09-30 | No data | Annual Report | Annual Report | No data |
| 0006993043 | 2020-09-29 | No data | Annual Report | Annual Report | 2020 |
| 0006950703 | 2020-07-06 | 2020-07-06 | Change of Agent Address | Agent Address Change | No data |
| 0006943532 | 2020-07-06 | 2020-07-06 | Change of Agent Address | Agent Address Change | No data |
| 0006650333 | 2019-09-25 | No data | Annual Report | Annual Report | 2019 |
| 0006249158 | 2018-09-20 | No data | Annual Report | Annual Report | 2018 |
| 0005922574 | 2017-09-08 | No data | Annual Report | Annual Report | 2017 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
