Name: | Prescription Pharmacy Services, LLC |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Limited Liability Company |
Status: | Activ |
Date of Organization in Rhode Island: | 21 Jun 2016 (9 years ago) |
Identification Number: | 001664426 |
ZIP code: | 02920 |
County: | Providence County |
Principal Address: | 1210 PONTIAC AVE 3RD FLOOR, CRANSTON, RI, 02920, USA |
Mailing Address: | 1210 PONTIAC AVENUE 3RD FLOOR, CRANSTON, RI, 02920, USA |
Purpose: | FREE-STANDING PHARMACY |
NAICS: | 446110 - Pharmacies and Drug Stores |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1346786977 | 2017-01-06 | 2019-07-09 | 1210 PONTIAC AVE, 3RD FLOOR, CRANSTON, RI, 029204490, US | 285 GOVERNOR ST LOWR LEVEL, PROVIDENCE, RI, 029063237, US | |||||||||||||||||||||||||||||||||||
|
Phone | +1 401-467-2223 |
Fax | 4017814570 |
Phone | +1 401-228-3388 |
Fax | 8554394579 |
Authorized person
Name | CHRISTINE DYER |
Role | PHARMACIST IN HCARGE |
Phone | 4012283047 |
Taxonomy
Taxonomy Code | 163WD0400X - Diabetes Educator Registered Nurse |
Is Primary | No |
Taxonomy Code | 333600000X - Pharmacy |
Is Primary | No |
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
License Number | PHA00615 |
State | RI |
Is Primary | Yes |
Other Provider Identifiers
Issuer | PK |
Number | 2167281 |
Name | Role | Address |
---|---|---|
EDWARD D. FELDSTEIN, ESQ. | Agent | 10 WEYBOSSET STREET SUITE 800, PROVIDENCE, RI, 02903, USA |
Name | Role | Address |
---|---|---|
MICHAEL J. FOLLICK | Manager | 1210 PONTIAC AVENUE CRANSTON, RI 02920 USA |
Number | Name | File Date |
---|---|---|
202448344180 | Annual Report | 2024-03-12 |
202327753700 | Annual Report | 2023-02-07 |
202213246020 | Annual Report | 2022-03-22 |
202101014120 | Annual Report | 2021-09-07 |
202068506360 | Annual Report | 2020-10-26 |
201918965120 | Annual Report | 2019-09-11 |
201877219650 | Annual Report | 2018-09-12 |
201749546060 | Annual Report | 2017-09-12 |
201600891360 | Articles of Organization | 2016-06-21 |
Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State