Organization
GREEN LINE APOTHECARY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA PROCACCIANTI (CEO)
(401) 360-3200
Entity
Organization
Contact information
Practice address
245 MAIN ST, WAKEFIELD, RI 02879-3527
(401) 360-3400
Mailing address
245 MAIN ST, WAKEFIELD, RI 02879-3527
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
04/24/2019
Last updated
09/15/2023
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