Name: | ATWOOD PRESCRIPTION CENTER, INC. |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Profit Corporation |
Status: | Dissolved |
Date of Organization in Rhode Island: | 03 Nov 1972 (52 years ago) |
Date of Dissolution: | 22 Apr 2020 (5 years ago) |
Date of Status Change: | 22 Apr 2020 (5 years ago) |
Identification Number: | 000001576 |
ZIP code: | 02919 |
County: | Providence County |
Principal Address: | 1524 ATWOOD AVENUE, JOHNSTON, RI, 02919, USA |
Purpose: | PHARMACY |
NAICS
446110 Pharmacies and Drug StoresThis industry comprises establishments known as pharmacies and drug stores engaged in retailing prescription or nonprescription drugs and medicines. Learn more at the U.S. Census Bureau
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1629181193 | 2006-08-17 | 2023-03-07 | 1524 ATWOOD AVE, SUITE 114, JOHNSTON, RI, 029193228, US | 1524 ATWOOD AVE, SUITE 114, JOHNSTON, RI, 029193228, US | |||||||||||||||||||||||||||||||||||
|
Phone | +1 401-831-0100 |
Fax | 4014533794 |
Authorized person
Name | MR. MICHAEL VINCENT ROBERTO |
Role | PRESIDENT |
Phone | 4018310100 |
Taxonomy
Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
License Number | PHA00077 |
State | RI |
Is Primary | No |
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | AP02328 |
State | RI |
Issuer | NABP# |
Number | 4100993 |
State | RI |
Name | Role | Address |
---|---|---|
THOMAS A. TARRO, III | Agent | 300 CENTERVILLE ROAD SUITE 330 SUMMIT EAST, WARWICK, RI, 02886, USA |
Name | Role | Address |
---|---|---|
MICHAEL V ROBERTO | PRESIDENT | 14A TAMARAC DRIVE GREENVILLE, RI 02828 USA |
Number | Name | File Date |
---|---|---|
202038305070 | Annual Report | 2020-04-22 |
202038305160 | Articles of Dissolution | 2020-04-22 |
201991438140 | Annual Report | 2019-04-29 |
201857222340 | Annual Report | 2018-01-29 |
201738343410 | Annual Report | 2017-03-20 |
201691410220 | Annual Report | 2016-01-28 |
201554653500 | Annual Report | 2015-02-05 |
201436117070 | Annual Report | 2014-02-24 |
201311395010 | Annual Report | 2013-02-12 |
201289871840 | Annual Report | 2012-02-20 |
Date of last update: 05 Apr 2025
Sources: Rhode Island Department of State