Provider Demographics
NPI:1043950769
Name:PHARMACY FRANCHISE, LLC
Entity Type:Organization
Organization Name:PHARMACY FRANCHISE, LLC
Other - Org Name:GREATERHEALTH PHARMACY & WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-200-5313
Mailing Address - Street 1:5503 DELMAR BLVD., SUITE B
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63112
Mailing Address - Country:US
Mailing Address - Phone:314-200-5313
Mailing Address - Fax:
Practice Address - Street 1:5503 DELMAR BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63112-3054
Practice Address - Country:US
Practice Address - Phone:314-200-5313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-30
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy