| Name: | DELEKTA PHARMACY, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 26 Jun 1975 (50 years ago) |
| Date of Dissolution: | 16 Nov 2017 (7 years ago) |
| Date of Status Change: | 16 Nov 2017 (7 years ago) |
| Identification Number: | 000006565 |
| ZIP code: | 02885 |
| County: | Bristol County |
| Principal Address: | 496 MAIN STREET, WARREN, RI, 02885, USA |
| Purpose: | RETAIL PHARMACY |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932200649 | 2006-09-26 | 2020-08-22 | 496 MAIN ST, WARREN, RI, 028854369, US | 496 MAIN ST, WARREN, RI, 028854369, US | |||||||||||||||||||||||||
|
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| Phone | +1 401-245-6767 |
| Fax | 4012458769 |
Authorized person
| Name | MR. ERIC J DELEKTA |
| Role | PRESIDENT |
| Phone | 4012456767 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PHA00016 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | DP00000 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| ERIC J. DELEKTA | Agent | 496 MAIN STREET, WARREN, RI, 02885, USA |
| Name | Role | Address |
|---|---|---|
| ERIC DELEKTA | PRESIDENT | 496 MAIN STREET WARREN, RI 02885 USA |
| Number | Name | File Date |
|---|---|---|
| 201753473990 | Articles of Dissolution | 2017-11-16 |
| 201732348240 | Annual Report | 2017-02-03 |
| 201691017410 | Annual Report | 2016-01-19 |
| 201553899710 | Annual Report | 2015-01-16 |
| 201432784140 | Annual Report | 2014-01-10 |
| 201310111800 | Annual Report | 2013-01-18 |
| 201287807210 | Annual Report | 2012-01-10 |
| 201173368980 | Annual Report | 2011-01-10 |
| 201057475780 | Annual Report | 2010-01-27 |
| 200940251360 | Annual Report | 2009-01-12 |
Date of last update: 05 Oct 2024
Sources: Rhode Island Department of State
