# MARC GLASSMAN INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MARCS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033124979
- **Authorized official:** MARY BETH HALLORAN (PHARMACY ADMIN)
- **Authorized official phone:** (216) 265-7700

## Contact information

- **Practice address:** 6695 EASTGATE DR, MAYFIELD HEIGHTS, OH 44124-2001
- **Practice address phone:** (440) 449-2681
- **Practice address fax:** (440) 461-1462
- **Mailing address:** 5841 W 130TH ST, PARMA, OH 44130-9308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 20968600 | OH | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/29/2006
- **Last updated:** 01/27/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0945697 | — | OH |
| 01 | — | 3626516 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |