| Name: | Phusion Rx #102, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 27 Jan 2014 (11 years ago) |
| Date of Dissolution: | 22 Jul 2019 (6 years ago) |
| Date of Status Change: | 22 Jul 2019 (6 years ago) |
| Identification Number: | 000893106 |
| ZIP code: | 02818 |
| County: | Kent County |
| Principal Address: | 42 LADD STREET, EAST GREENWICH, RI, 02818, USA |
| Purpose: | PHARMACY |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215353586 | 2014-03-11 | 2014-12-23 | 42 LADD ST, UNIT #208, EAST GREENWICH, RI, 028184361, US | 42 LADD ST, UNIT #208, EAST GREENWICH, RI, 028184361, US | |||||||||||||||||
|
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| Phone | +1 855-748-7466 |
Authorized person
| Name | DR. DAVID CHARLES HUGHES |
| Role | CEO & PRESIDENT |
| Phone | 8557487466 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| APOTHACA, INC. | Agent | 17 COVENTRY SHOPPERS PARK, COVENTRY, RI, 02816, USA |
| Number | Name | File Date |
|---|---|---|
| 201906384890 | Revocation Certificate For Failure to File the Annual Report for the Year | 2019-07-22 |
| 201992517150 | Revocation Notice For Failure to File An Annual Report | 2019-05-13 |
| 201750166930 | Annual Report | 2017-09-21 |
| 201629006930 | Annual Report | 2016-12-20 |
| 201629007090 | Annual Report | 2016-12-20 |
| 201629006570 | Reinstatement | 2016-12-20 |
| 201600184390 | Revocation Certificate For Failure to File the Annual Report for the Year | 2016-06-08 |
| 201694302450 | Revocation Notice For Failure to File An Annual Report | 2016-03-14 |
| 201434289850 | Articles of Organization | 2014-01-27 |
Date of last update: 18 Oct 2024
Sources: Rhode Island Department of State
