| Name: | PREMIER COMPOUNDING CENTER, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 05 Jan 2015 (10 years ago) |
| Date of Dissolution: | 01 Mar 2023 (2 years ago) |
| Date of Status Change: | 01 Mar 2023 (2 years ago) |
| Identification Number: | 001031620 |
| ZIP code: | 02871 |
| County: | Newport County |
| Principal Address: | 137 CHASE ROAD, PORTSMOUTH, RI, 02871, USA |
| Mailing Address: | 3913 MAIN ROAD UNIT E, TIVERTON, RI, 02878, USA |
| Purpose: | COMPOUNDING OF PRESCRIPTION MEDICINES |
NAICS
325412 Pharmaceutical Preparation ManufacturingThis U.S. industry comprises establishments primarily engaged in manufacturing in-vivo diagnostic substances and pharmaceutical preparations (except biological) intended for internal and external consumption in dose forms, such as ampoules, tablets, capsules, vials, ointments, powders, solutions, and suspensions. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659761914 | 2015-01-26 | 2016-08-12 | 137 CHASE RD, PORTSMOUTH, RI, 028713243, US | 137 CHASE RD, PORTSMOUTH, RI, 028713243, US | |||||||||||||||||||||||||||
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| Phone | +1 401-293-3999 |
| Fax | 4012933912 |
Authorized person
| Name | RENE ST. LAURENT |
| Role | OWNER |
| Phone | 4012933999 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| License Number | PHA00567 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2149794 |
| Name | Role | Address |
|---|---|---|
| JOSHUA R. HOLLAND | Agent | 3913 MAIN ROAD UNIT E, TIVERTON, RI, 02878, USA |
| Number | Name | File Date |
|---|---|---|
| 202329841090 | Articles of Dissolution | 2023-03-01 |
| 202212188150 | Annual Report | 2022-03-01 |
| 202103815040 | Annual Report | 2021-10-21 |
| 202073549530 | Annual Report | 2020-11-09 |
| 201926808390 | Annual Report | 2019-10-31 |
| 201880701960 | Annual Report | 2018-10-31 |
| 201752319280 | Annual Report | 2017-10-26 |
| 201752319640 | Statement of Change of Registered/Resident Agent Office | 2017-10-26 |
| 201611605530 | Annual Report | 2016-10-31 |
| 201552740310 | Articles of Organization | 2015-01-05 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6177488705 | 2021-04-03 | 0165 | PPS | 137 Chase Rd, Portsmouth, RI, 02871-3243 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9670137205 | 2020-04-28 | 0165 | PPP | 137 Chase Rd, PORTSMOUTH, RI, 02871 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 20 Oct 2024
Sources: Rhode Island Department of State
