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FAIRLAWN PHARMACY, INCORPORATED

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Company Details

Name: FAIRLAWN PHARMACY, INCORPORATED
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 05 Mar 1958 (67 years ago)
Date of Dissolution: 14 Sep 2012 (13 years ago)
Date of Status Change: 14 Sep 2012 (13 years ago)
Identification Number: 000005353
ZIP code: 02860
County: Providence County
Purpose: FILLING PRESCRIPTIONS AND RETAIL, PHARMACY
Principal Address: Google Maps Logo 582 SMITHFIELD AVENUE, PAWTUCKET, RI, 02860-1633, USA

PRESIDENT

Name Role Address
BEDROS KOOSHERIAN PRESIDENT 12 MEYERS COURT WARWICK, RI 02889 USA

Agent

Name Role Address
TRACEY M. KOOSHERIAN Agent 582 SMITHFIELD AVENUE, PAWTUCKET, RI, 02860, USA

National Provider Identifier

NPI Number:
1366578775

Authorized Person:

Name:
BEDROS KOOSHERIAN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
No
Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Filings

Number Name File Date
201297809770 Revocation Certificate For Failure to File the Annual Report for the Year 2012-09-14
201292953630 Revocation Notice For Failure to File An Annual Report 2012-05-23
201174594090 Annual Report 2011-02-07
201059680470 Annual Report 2010-02-26
200943023720 Annual Report 2009-02-23

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Date of last update: 16 May 2025

Sources: Rhode Island Department of State