| 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 Stores |
| 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 | |||||||||||||||||||||||||||||||||||
|
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| 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 Oct 2024
Sources: Rhode Island Department of State
