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General NPI Number Information
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NPI Number | 1043950769
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Entity Type | Organization
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Legal Business Name | PHARMACY FRANCHISE, LLC
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Dates
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Enumeration Date | 03/30/2022
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Last Update Date | 03/08/2023
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Provider Practice Location Address
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Address Line | 5503 DELMAR BLVD SUITE B
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City | SAINT LOUIS
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State | MO
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Zip | 63112-3054
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Country | US
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Telephone | 314-200-5313
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Fax |
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Provider Business Mailing Address
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Address Line | 5503 DELMAR BLVD., SUITE B
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City | SAINT LOUIS
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State | MO
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Zip | 63112
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Country | US
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Telephone | 314-200-5313
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MARCUS HOWARD
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Credential |
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Telephone | 314-200-5313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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