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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
480 BOSTON POST RD, MILFORD, CT 06460-2529
(203) 877-7828
(203) 882-5775
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
1411
CT
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004139681
CT
01
0713950
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
07/29/2006
Last updated
04/15/2013
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