| Name: | PRIME DRUG, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 22 Mar 1966 (59 years ago) |
| Identification Number: | 000031684 |
| ZIP code: | 02907 |
| County: | Providence County |
| Principal Address: | 613 CRANSTON STREET, PROVIDENCE, RI, 02907, USA |
| Purpose: | OPERATING A GENERAL STORE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679621676 | 2007-01-08 | 2008-05-30 | 613 CRANSTON ST, PROVIDENCE, RI, 029072813, US | 613 CRANSTON ST, PROVIDENCE, RI, 029072813, US | |||||||||||||||||||||||||||||
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| Phone | +1 401-521-9660 |
| Fax | 4018611177 |
Authorized person
| Name | CARMINE DETOMASIS |
| Role | VP |
| Phone | 4015219660 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PHA00075 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | OTHER ID NUMBER |
| Number | 4101919 |
| Issuer | MEDICAID |
| Number | PD02331 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| ANTHONY R. LEONE, II ESQ. | Agent | 1345 JEFFERSON BOULEVARD, WARWICK, RI, 02886, USA |
| Name | Role | Address |
|---|---|---|
| CARMINE DETOMASIS | PRESIDENT | 613 CRANSTON ST. PROVIDENCE, RI 02907 USA |
| Number | Name | File Date |
|---|---|---|
| 202453813110 | Annual Report | 2024-05-03 |
| 202334840220 | Annual Report | 2023-05-01 |
| 202216245930 | Annual Report | 2022-04-29 |
| 202195041260 | Annual Report | 2021-03-30 |
| 202035346760 | Annual Report | 2020-02-27 |
| 201986737340 | Annual Report | 2019-02-15 |
| 201859461260 | Annual Report | 2018-03-01 |
| 201755067610 | Annual Report - Amended | 2017-12-14 |
| 201734684300 | Annual Report | 2017-02-24 |
| 201693219010 | Annual Report | 2016-02-26 |
Date of last update: 06 Oct 2024
Sources: Rhode Island Department of State
