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NPI 1053975102

OrganizationActive

Green Line Apothecary LLC

NPI 1053975102 · Long Term Care Pharmacy · Wakefield, RI

Provider details

NPI number: 1053975102
Entity type: Organization
Primary specialty: Long Term Care PharmacySuppliers
Authorized official: Christina Procaccianti, Ceo

Practice location

245 Main St

Wakefield, RI 02879-3527

Phone: (401) 360-3400

More RI providers

Mailing address

245 Main St

Wakefield, RI 02879-3527

Registry dates

Enumerated: 2019-04-24
Last updated: 2023-09-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Green Line Apothecary LLC — NPI 1053975102, Wakefield, RI | NPI Central