Organization
MARC GLASSMAN INC
Active
Other names
MARCS
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH HALLORAN (PHARMACY ADMIN)
(216) 265-7700
Entity
Organization
Contact information
Practice address
4755 MAHONING AVE, AUSTINTOWN, OH 44515-1616
(330) 792-4875
(330) 792-4453
Mailing address
5841 W 130TH ST, PARMA, OH 44130-9308
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
21351900
OH
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2377860
—
OH
01
—
3671206
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/29/2006
Last updated
01/30/2017
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