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Green Line Supply LLC

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Company Details

Name: Green Line Supply LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 13 Aug 2024 (a year ago)
Identification Number: 001777709
ZIP code: 02879
City: Wakefield
County: Washington County
Purpose: PHARMACY
Principal Address: Google Maps Logo 245 MAIN ST, WAKEFIELD, RI, 02879, USA

Contact Details

Phone +1 401-360-3200

Industry & Business Activity

NAICS

446110 Pharmacies and Drug Stores

This industry comprises establishments known as pharmacies and drug stores engaged in retailing prescription or nonprescription drugs and medicines. Learn more at the U.S. Census Bureau

Agent

Name Role Address
KENNETH PROCACCIANTI Agent 245 MAIN ST, WAKEFIELD, RI, 02879, USA

National Provider Identifier

NPI Number:
1386450153
Certification Date:
2024-12-06

Authorized Person:

Name:
KENNETH PROCACCIANTI
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
3336L0003X - Long Term Care Pharmacy
Is Primary:
Yes

Contacts:

Licenses

License No License Type Status Date Issued Expiration Date
PHA00704 Pharmacy -Retail Active 2025-01-02 2025-09-30

Filings

Number Name File Date
202458781630 Articles of Organization 2024-08-13
202572555410 Annual Report 2025-05-05

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Date of last update: 18 Jul 2025

Sources: Rhode Island Department of State