Organization
GREEN PHARMACY AND STORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BABATUNDE ADEDAYO OSOBU RPH (PRESIDENT)
(267) 307-1581
Entity
Organization
Contact information
Practice address
4931 N BROAD ST, PHILADELPHIA, PA 19141-2254
(267) 996-8770
(267) 996-8100
Mailing address
4931 N BROAD ST, PHILADELPHIA, PA 19141-2254
(267) 996-8770
(267) 996-8100
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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