Healthcare Provider Details

I. General information

NPI: 1518887801
Provider Name (Legal Business Name): MARC GLASSMAN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

371 W BAGLEY RD
BEREA OH
44017-1351
US

IV. Provider business mailing address

5841 W 130TH ST
CLEVELAND OH
44130-9308
US

V. Phone/Fax

Practice location:
  • Phone: 440-260-7000
  • Fax:
Mailing address:
  • Phone: 216-265-7700
  • Fax: 216-265-7744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: BETH HALLORAN
Title or Position: PHARMACY ADMIN
Credential:
Phone: 216-265-7700