Green Line Apothecary LLC
NPI #1023483336 in Wakefield, Rhode Island
Provider Information
- NPI Number
- 1023483336
- Entity Type
- Organization
- Organization Name
- Green Line Apothecary LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 11, 2015
- Last Updated
- Sep 10, 2021
Practice Location
- Address
- 245 MAIN ST
- City
- Wakefield
- State
- Rhode Island
- ZIP Code
- 02879-3527
- Phone
- (401) 360-3300
Authorized Official
- Name
- CHRISTINA PROCACCIANTI, PHARMD
- Title
- OWNER, PIC, AO
- Phone
- (401) 360-3200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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