Green Line Supply LLC
NPI #1386450153 in Riverside, Rhode Island
Provider Information
- NPI Number
- 1386450153
- Entity Type
- Organization
- Organization Name
- Green Line Supply LLC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Dec 6, 2024
- Last Updated
- Dec 6, 2024
Practice Location
- Address
- 10 TRIPPS LN
- City
- Riverside
- State
- Rhode Island
- ZIP Code
- 02915-3014
- Phone
- (401) 360-3400
Authorized Official
- Name
- KENNETH PROCACCIANTI
- Title
- PRESIDENT
- Phone
- (401) 360-3200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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