MEDICARE: MARC 1 DRUGS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	PHY46592	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2112625	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144227307
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARC 1 DRUGS INC

Provider Business Mailing Address
First Line	:	1118 S GARFIELD AVE
Second Line	:	STE 101
City	:	ALHAMBRA
State	:	CA
Zip	:	91801-4795
Country	:	US
Telephone Number	:	626-457-8878
Fax Number	:	626-457-8658

Provider Business Practice Location Address
First Line	:	1118 S GARFIELD AVE
Second Line	:	STE 101
City	:	ALHAMBRA
State	:	CA
Zip	:	91801-4795
Country	:	US
Telephone Number	:	626-457-8878
Fax Number	:	626-457-8658

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARC HOANG
Credential	:
Telephone Number	:	626-457-8878

Provider Enumeration Date	:	07/02/2005
Last Update Date	:	11/09/2015

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