Whalio Doctors

NPI 1023483336

Green Line Apothecary LLC

Organisation Community/Retail Pharmacy Wakefield, RI

Practice location

Address
245 Main St, Wakefield, RI 02879-3527
Phone
(401) 360-3300
Fax
(401) 783-0045

Authorised official

Name
Christina Procaccianti
Title
Owner, Pic, Ao
Phone
(401) 360-3200

Registered specialties (2)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence PHA00608 (RI)
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1023483336
Entity type
Organization
NPI issued
11 Dec 2015
Record last updated
10 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.