| Name: | Medication Management LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 01 Mar 2013 (12 years ago) |
| Date of Dissolution: | 01 Jun 2015 (10 years ago) |
| Date of Status Change: | 01 Jun 2015 (10 years ago) |
| Identification Number: | 000796985 |
| ZIP code: | 02905 |
| County: | Providence County |
| Principal Address: | 71 SEAVIEW AVENUE, CRANSTON, RI, 02905, USA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619217502 | 2013-02-28 | 2013-02-28 | 71 SEAVIEW AVE, CRANSTON, RI, 029053615, US | 600 PUTNAM PIKE, SUITE 7, GREENVILLE, RI, 028281486, US | |||||||||||||||||||||||||||
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| Phone | +1 508-369-9888 |
| Phone | +1 401-949-2220 |
Authorized person
| Name | LAURIE ANN WILSON |
| Role | MANAGING MEMBER/OWNER |
| Phone | 5083699888 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| License Number | NPP37242 |
| State | RI |
| Is Primary | Yes |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| License Number | RN40329 |
| State | RI |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| LAURIE ANN WILSON | Agent | 71 SEAVIEW AVENUE, CRANSTON, RI, 02905, USA |
| Name | Role | Address |
|---|---|---|
| LAURIE ANN WILSON NP | MANAGER | 71 SEAVIEW AVENUE CRANSTON, RI 02905 USA |
| Number | Name | File Date |
|---|---|---|
| 201562248020 | Revocation Certificate For Failure to File the Annual Report for the Year | 2015-06-01 |
| 201557564830 | Revocation Notice For Failure to File An Annual Report | 2015-03-16 |
| 201313332400 | Articles of Organization | 2013-03-01 |
Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
