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
—
—
Other
Enumeration date
08/26/2018
Last updated
09/15/2023
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