Organization
MARC GLASSMAN INC
Active
Other names
XPECT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FLORMAN (3RD PARTY ADMIN)
(216) 265-7700
Entity
Organization
Contact information
Practice address
47 SHUNPIKE RD, CROMWELL, CT 06416-2447
(860) 632-9092
(860) 613-3716
Mailing address
5841 W 130TH ST, PARMA, OH 44130-9308
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
1417
CT
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004137362
—
CT
01
—
0714041
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/29/2006
Last updated
04/15/2013
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