Doctor Name: | JOSEPH MAREK |
NPI Number: | 1194849760 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPH CGP |
License Number: | 03-3-18455 |
Business Practice Address: | 1103 Shelton Cir Broadview Heights, OH - 441474259 |
Business Phone Number: | 4402631752 |
Business Fax Number: | |
Mailing Address: | 1103 Shelton Cir, BROADVIEW HEIGHTS |
State: | OH |
Postal Code: | 441474259 |
Phone Number: | 4402631752 |
Fax Number: | |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835G0303X |
License Number: | 03-3-18455 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Geriatric |
Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |