| 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 Manufacturing |
| 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 |
Date of last update: 20 Oct 2024
Sources: Rhode Island Department of State
