# MARC GLASSMAN INC

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

## Provider details

- **NPI number:** 1184639023
- **Authorized official:** DAVID FLORMAN (3RD PARTY ADMIN)
- **Authorized official phone:** (216) 265-7700

## Contact information

- **Practice address:** 7121 TIFFANY BLVD, YOUNGSTOWN, OH 44514-1965
- **Practice address phone:** (330) 965-6371
- **Practice address fax:** (330) 965-4297
- **Mailing address:** 5841 W 130TH ST, PARMA, OH 44130-9308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 21351850 | OH | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/29/2006
- **Last updated:** 11/23/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2377324 | — | OH |
| 01 | — | 3671218 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |