| Name: | MUSGRAVE, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 09 May 1977 (48 years ago) |
| Date of Dissolution: | 09 Nov 2009 (15 years ago) |
| Date of Status Change: | 09 Nov 2009 (15 years ago) |
| Identification Number: | 000013278 |
| ZIP code: | 02840 |
| County: | Newport County |
| Principal Address: | 16 GEORGE STREET, NEWPORT, RI, 02840, USA |
| Purpose: | OPERATION OF A PHARMACY |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124031562 | 2006-08-15 | 2023-03-07 | 580 THAMES ST, NEWPORT, RI, 028406741, US | 580 THAMES ST, NEWPORT, RI, 028406741, US | |||||||||||||||||||||||||||||||
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| Phone | +1 401-846-1296 |
| Fax | 4018485538 |
Authorized person
| Name | MR. NIGEL A. MUSGRAVE |
| Role | OWNER |
| Phone | 4018461296 |
Taxonomy
| Taxonomy Code | 183500000X - Pharmacist |
| License Number | PHA00154 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NABP |
| Number | 4101135 |
| State | RI |
| Issuer | MEDICAID |
| Number | WS00100 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| PATRICK O'N. HAYES, JR. ESQ. | Agent | 31 AMERICA'S CUP AVENUE P.O. BOX 389, NEWPORT, RI, 02840, USA |
| Name | Role | Address |
|---|---|---|
| NIGEL MUSGRAVE | PRESIDENT | 580 THAMES STREET NEWPORT, RI 02840 USA |
| Number | Name | File Date |
|---|---|---|
| 200954927240 | Articles of Dissolution | 2009-11-09 |
| 200948331190 | Annual Report | 2009-08-03 |
| 200807073670 | Annual Report | 2008-02-20 |
Date of last update: 06 Oct 2024
Sources: Rhode Island Department of State
