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Green Line Supply LLC — NPI 1386450153, Riverside, RI | NPI Central

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NPI 1386450153

OrganizationActive

Green Line Supply LLC

NPI 1386450153 · Long Term Care Pharmacy · Riverside, RI

Provider details

NPI number: 1386450153
Entity type: Organization
Primary specialty: Long Term Care PharmacySuppliers
Organization subpart: No
Authorized official: Kenneth Procaccianti, President(401) 360-3200

Specialties & taxonomies

Long Term Care PharmacyPrimary3336L0003X
Suppliers

Practice location

10 Tripps Ln

Riverside, RI 02915-3014

Phone: (401) 360-3400

Approximate (ZIP-level) locationGet directions

More RI providers

Mailing address

203 Main St

Wakefield, RI 02879-3557

Registry dates

Enumerated: 2024-12-06
Last updated: 2024-12-06
Certified: 2024-12-06

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