Healthcare Provider Details

I. General information

NPI: 1710899117
Provider Name (Legal Business Name): PHARMACY FRANCHISE AT THE HUB, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 E. PRAIRIE AVE STE 131
SAINT LOUIS MO
63107
US

IV. Provider business mailing address

3000 E. PRAIRIE AVE STE 131
SAINT LOUIS MO
63107
US

V. Phone/Fax

Practice location:
  • Phone: 314-200-5313
  • Fax: 314-200-0313
Mailing address:
  • Phone: 314-200-5313
  • Fax: 314-200-0313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. MARCUS HOWARD
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: PH.D.
Phone: 314-497-8553