Organization · Type 2 NPI

Green Line Apothecary LLC

Community/Retail Pharmacy · Wakefield, RI

NPI number 1023483336 Active

Practice location

245 Main St
Wakefield, RI 02879-3527

Fax (401) 783-0045

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	PHA00608 (RI)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

3 other providers at this address

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NPI record

NPI: 1023483336
Entity type: Organization (Type 2)
Issued: Dec 11, 2015
Last updated: Sep 10, 2021
Status: Active

Other names

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Green Line Apothecary · doing business as
Green Line Apothecary · doing business as

Authorized official

Christina Procaccianti, PharmD
Owner, Pic, Ao
(401) 360-3200

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023483336

Green Line Apothecary LLC's National Provider Identifier is 1023483336, issued on Dec 11, 2015. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Wakefield, RI. The record was last updated on Sep 10, 2021.