| NPI | 1750862983 |
|---|---|
| Doing Business As | GREEN LINE APOTHECARY |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA PROCACCIANTI CEO 401-360-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-08-26 |
| Last Update Date | 2023-09-15 |