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NPI Code Detail

MEDICARE: MARC GLASSMAN INC

MEDICARE: MARC GLASSMAN 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
13336C0003XCommunity/Retail Pharmacy
2333600000XPharmacy20627950OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23654034OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1578578415
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARC GLASSMAN INC
Provider Business Mailing Address
First Line : 5841 W 130TH ST
Second Line :
City : PARMA
State : OH
Zip : 44130-9308
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3112 CLEVELAND AVE NW
Second Line :
City : CANTON
State : OH
Zip : 44709-2813
Country : US
Telephone Number : 330-492-2963
Fax Number : 330-492-4420
Authorized Official
Title or Position : PHARMACY ADMIN
Name : MARY BETH HALLORAN
Credential :
Telephone Number : 216-265-7700
Provider Enumeration Date : 07/29/2006
Last Update Date : 03/02/2020

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Directions to “MARC GLASSMAN INC ” Practice Location

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