| Name: | GENOA HEALTHCARE OF RHODE ISLAND I, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 07 Mar 2006 (19 years ago) |
| Date of Dissolution: | 27 Apr 2018 (7 years ago) |
| Date of Status Change: | 27 Apr 2018 (7 years ago) |
| Identification Number: | 000154490 |
| Principal Address: | 18300 CASCADE AVENUE SOUTH SUITE 251, TUKWILA, WA, 98106, USA |
| Purpose: | PHARMACY - PRESCRIPTION DRUGS AND RELATED SERVICES |
| NAICS: | 446110 - Pharmacies and Drug Stores |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245405190 | 2008-04-22 | 2012-04-25 | PO BOX 77030, MINNEAPOLIS, MN, 554807730, US | 2756 POST RD, WARWICK, RI, 028863003, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 253-218-0830 |
| Fax | 2532174306 |
| Phone | +1 401-921-5660 |
| Fax | 4019216411 |
Authorized person
| Name | RYAN NIEMEYER |
| Role | CONTROLLER |
| Phone | 2532180830 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | PHA00440 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PHA00440 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PHA00440 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA |
| Number | Name | File Date |
|---|---|---|
| 201862922350 | Articles of Dissolution | 2018-04-27 |
| 201751132970 | Annual Report | 2017-10-06 |
| 201747534410 | Statement of Change of Registered/Resident Agent | 2017-07-21 |
| 201611238710 | Annual Report | 2016-10-27 |
| 201579708560 | Annual Report | 2015-09-18 |
| 201446761810 | Annual Report | 2014-09-26 |
| 201328397320 | Annual Report | 2013-09-19 |
| 201324545770 | Statement of Change of Registered/Resident Agent Office | 2013-06-17 |
| 201312742110 | Statement of Change of Registered/Resident Agent Office | 2013-02-12 |
| 201298523260 | Annual Report | 2012-09-20 |
Date of last update: 10 Oct 2024
Sources: Rhode Island Department of State
