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
15030 PURITAS AVE, CLEVELAND, OH 44135-2712
(216) 476-6755
(216) 476-6757
Mailing address
5841 W 130TH ST, PARMA, OH 44130-9308
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
20643250
OH
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0832371
—
OH
01
—
3654743
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/29/2006
Last updated
11/23/2007
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