Organization
MARC GLASSMAN INC
Active
Other names
MARCS
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FLORMAN (3RD PARTY ADMIN)
(216) 265-7700
Entity
Organization
Contact information
Practice address
7121 TIFFANY BLVD, YOUNGSTOWN, OH 44514-1965
(330) 965-6371
(330) 965-4297
Mailing address
5841 W 130TH ST, PARMA, OH 44130-9308
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
21351850
OH
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2377324
—
OH
01
—
3671218
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/29/2006
Last updated
11/23/2007
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