Provider Demographics
NPI:1639486855
Name:MARCUM, CHRISTOPHER (PHARM D)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:MARCUM
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12000 MCCRACKEN RD STE 151
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-2962
Mailing Address - Country:US
Mailing Address - Phone:216-587-8822
Mailing Address - Fax:
Practice Address - Street 1:12000 MCCRACKEN RD STE 151
Practice Address - Street 2:
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125-2962
Practice Address - Country:US
Practice Address - Phone:216-587-8822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-09
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03325738183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist