NPI 1386450153

Green Line Supply LLC

Organisation Long Term Care Pharmacy Riverside, RI

Practice location

Address: 10 Tripps Ln, Riverside, RI 02915-3014
Phone: (401) 360-3400
Mailing address: 203 Main St, Wakefield, RI 02879-3557

Authorised official

Name: Kenneth Procaccianti
Title: President
Phone: (401) 360-3200

Registered specialties

Long Term Care Pharmacy Primary

Suppliers Taxonomy 3336L0003X

Other Pharmacy providers in Rhode Island →

Registry record

NPI: 1386450153
Entity type: Organization
NPI issued: 6 Dec 2024
Record last updated: 6 Dec 2024

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.