| Entity Name: | ACARIAHEALTH PHARMACY #12, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Foreign |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 14 Jan 2015 |
| Branch of: | ACARIAHEALTH PHARMACY #12, INC., NEW YORK (Company Number 3954518) |
| Business ALEI: | 1163934 |
| Annual report due: | 14 Jan 2025 |
| NAICS code: | 621999 - All Other Miscellaneous Ambulatory Health Care Services |
| Business address: | 5 Skyline Drive, Hawthorne, NY, 10532, United States |
| Mailing address: | 7700 FORSYTH BLVD, ST. LOUIS, MO, United States, 63105 |
| Place of Formation: | NEW YORK |
| E-Mail: | shannon.p.kister@centene.com |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| STEPHEN JENSEN | Officer | 8517 SOUTH PARK CIRCLE, #400, ORLANDO, FL, 32819, United States | 8427 SOUTHPARK CIRCLE, ORLANDO, FL, 33634, United States |
| Justin Stubstad | Officer | 7700 Forsyth Blvd, Saint Louis, MO, 63105, United States | 7700 Forsyth Blvd, Saint Louis, MO, 63105, United States |
| TRICIA DINKELMAN | Officer | 7700 FORSYTH BLVD., ST. LOUIS, MO, 63105, United States | 7700 FORSYTH BLVD., ST.LOUIS, MO, 63105, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| STEPHEN JENSEN | Director | 8517 SOUTH PARK CIRCLE, #400, ORLANDO, FL, 32819, United States | 8427 SOUTHPARK CIRCLE, ORLANDO, FL, 33634, United States |
| Justin Stubstad | Director | 7700 Forsyth Blvd, Saint Louis, MO, 63105, United States | 7700 Forsyth Blvd, Saint Louis, MO, 63105, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012418142 | 2024-01-11 | No data | Annual Report | Annual Report | No data |
| BF-0011204593 | 2023-01-09 | No data | Annual Report | Annual Report | No data |
| BF-0010177489 | 2022-01-20 | No data | Annual Report | Annual Report | 2022 |
| 0007076162 | 2021-01-22 | No data | Annual Report | Annual Report | 2021 |
| 0006711528 | 2020-01-06 | No data | Annual Report | Annual Report | 2020 |
| 0006289206 | 2018-12-08 | No data | Annual Report | Annual Report | 2019 |
| 0005983807 | 2017-12-12 | No data | Annual Report | Annual Report | 2018 |
| 0005724547 | 2016-12-23 | No data | Annual Report | Annual Report | 2017 |
| 0005441553 | 2015-12-04 | No data | Annual Report | Annual Report | 2016 |
| 0005256463 | 2015-01-14 | 2015-01-14 | Business Registration | Certificate of Authority | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
