MEDICARE: MARC DRUG COMPANY

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	020087000	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3604344	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235211038
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARC DRUG COMPANY

Provider Business Mailing Address
First Line	:	2350 CATALPA DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45406-2103
Country	:	US
Telephone Number	:	937-274-2101
Fax Number	:	937-276-8455

Provider Business Practice Location Address
First Line	:	2350 CATALPA DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45406-2103
Country	:	US
Telephone Number	:	937-274-2101
Fax Number	:	937-276-8455

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOSEPH BETTMAN
Credential	:
Telephone Number	:	937-274-2101

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	07/29/2010

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Directions to “MARC DRUG COMPANY ” Practice Location

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