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Organization
GREEN LINE APOTHECARY OF PROVIDENCE LLC
Active
Organization
GREEN LINE APOTHECARY OF PROVIDENCE LLC
Active
Other names
Green Line Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA PROCACCIANTI PHARMD (CEO)
(401) 360-3200
Entity
Organization
Contact information
Practice address
905 N MAIN ST, PROVIDENCE, RI 02904-5744
(401) 633-8100
Mailing address
245 MAIN ST, WAKEFIELD, RI 02879-3527
(401) 360-3200
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
08/26/2018
Last updated
09/15/2023
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