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Green Line Apothecary of Providence LLC — NPI 1750862983, Providence, RI | NPI Central

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NPI 1750862983

OrganizationActive

Green Line Apothecary of Providence LLC

NPI 1750862983 · Community/Retail Pharmacy · Providence, RI

Provider details

NPI number: 1750862983
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Organization subpart: No
Authorized official: Christina Procaccianti, Ceo(401) 360-3200

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003X
Suppliers

Practice location

905 N Main St

Providence, RI 02904-5744

Phone: (401) 633-8100

Approximate (ZIP-level) locationGet directions

More RI providers

Mailing address

245 Main St

Wakefield, RI 02879-3527

Other names (DBA / former)

Doing business as: Green Line Apothecary

Registry dates

Enumerated: 2018-08-26
Last updated: 2023-09-15
Certified: 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.