GREEN LINE APOTHECARY OF PROVIDENCE LLC is a long term care pharmacy pharmacy in Providence, RI. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. GREEN LINE APOTHECARY OF PROVIDENCE LLC NPI is 1053975102. The provider is registered as an organization entity type.
The provider's business location address is:
905 N MAIN ST
PROVIDENCE, RI
ZIP 02904-744
Phone: (401) 633-8100
The provider's authorized official is Christina Procaccianti .
The authorized official title is Ceo and has the following contact phone number (401) 360-3200.
The CLIA number assigned to this NPI record is 41D2110832 - pharmacy with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/24/2019 and was last updated on 9/10/2021.