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
Suppliers
Practice location
10 Tripps Ln
Riverside, RI 02915-3014
Phone: (401) 360-3400
Approximate (ZIP-level) locationGet directions
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.