| Name: | QUALITY PHARMACEUTICAL SERVICES, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 04 Oct 1999 (25 years ago) |
| Date of Dissolution: | 06 Nov 2014 (10 years ago) |
| Date of Status Change: | 06 Nov 2014 (10 years ago) |
| Identification Number: | 000108699 |
| ZIP code: | 02895 |
| County: | Providence County |
| Principal Address: | 55 JOHN A. CUMMINGS WAY, WOONSOCKET, RI, 02895, USA |
| Purpose: | TO ENGAGE IN HEALTH CARE BUSINESSES. |
| Fictitious names: |
WILLETT DISTRIBUTION, INC. (trading name, 2003-04-28 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255416541 | 2006-10-26 | 2012-10-26 | PO BOX 115, SAUNDERSTOWN, RI, 028740115, US | 1130 TEN ROD RD, STE F101, NORTH KINGSTOWN, RI, 028524161, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 401-294-1332 |
| Fax | 4012940801 |
Authorized person
| Name | MATT UUSTAL |
| Role | PRES CEO |
| Phone | 4012941332 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PHA00280 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | QP44466 |
| State | RI |
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 4106109 |
| Name | Role | Address |
|---|---|---|
| MATTI UUSTAL | Agent | 1130 TEN ROD ROAD SUITE F-101, NORTH KINGSTOWN, RI, 02852, USA |
| Name | Role | Address |
|---|---|---|
| MATT UUSTAL | PRESIDENT | 210 WILLETT ROAD NARRAGANSETT, RI 02874 USA |
| Number | Name | File Date |
|---|---|---|
| 201450210960 | Registered Office Not Maintained | 2014-11-17 |
| 201449493600 | Revocation Certificate For Failure to File the Annual Report for the Year | 2014-11-06 |
| 201439469220 | Revocation Notice For Failure to File An Annual Report | 2014-05-20 |
| 201309914900 | Annual Report | 2013-01-17 |
| 201290656560 | Annual Report | 2012-03-02 |
| 201173182090 | Annual Report | 2011-01-05 |
| 200955623420 | Annual Report | 2009-12-23 |
| 200939855850 | Annual Report | 2008-12-31 |
| 200810626320 | Annual Report | 2008-05-08 |
| 200810626140 | Annual Report | 2008-05-08 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
