Marc Glassman Inc
Organization Active NPI Community/Retail Pharmacy · Brook Park, OH
NPI 1801801741 · NPPES record last updated Aug 27, 2010
Key facts
- NPI
- 1801801741
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- MARC GLASSMAN INC
- Practice address
- 5725 Smith Rd
Brook Park, OH 44142-2003 - Phone
- (216) 676-6003
- Fax
- (216) 676-6005
- NPI assigned
- Jul 29, 2006
- Reactivated
- Aug 17, 2010
- Organization subpart
- No
Authorized official
- Name
- David Florman
- Title
- 3Rd Party Admin
- Phone
- (216) 265-7700
Corporate family (same tax ID) 44
National Provider Directory
- Tax ID family
- Marc Glassman Inc
Locations
5725 Smith Rd
Brook Park, OH 44142
Phone (216) 676-6003
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 21396550 | OH | |
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
5725 Smith Rd
Brook Park, OH 44142-2003
Mailing address
5841 W 130TH St
Parma, OH 44130-9308
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3671890 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 2433629 | Medicaid | OH |
Other names
- MARCS
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All providers in Brook Park, OH · Community/Retail Pharmacy in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.