Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Green Pharmacy and Store LLC

Organization Community/Retail Pharmacy · NPI 1073205969

Green Pharmacy and Store LLC is a Community/Retail Pharmacy in Philadelphia, Pennsylvania. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4931 N Broad St
Philadelphia, PA 19141-2254
Phone: (267) 996-8770
Fax: (267) 996-8100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1073205969
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Babatunde Osobu — President · (267) 307-1581
NPI enumeratedMay 22, 2023
Last updated in NPPESMay 22, 2023
Certification dateMay 21, 2023
Mailing address4931 N Broad St, Philadelphia, PA 19141-2254

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