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Phusion Rx #102, LLC

Company Details

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
Purpose: PHARMACY
Principal Address: Google Maps Logo 42 LADD STREET, EAST GREENWICH, RI, 02818, USA

Agent

Name Role Address
APOTHACA, INC. Agent 17 COVENTRY SHOPPERS PARK, COVENTRY, RI, 02816, USA

National Provider Identifier

NPI Number:
1215353586

Authorized Person:

Name:
DR. DAVID CHARLES HUGHES
Role:
CEO & PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes
Selected Taxonomy:
3336C0004X - Compounding Pharmacy
Is Primary:
No

Contacts:

Filings

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

Date of last update: 31 May 2025

Sources: Rhode Island Department of State