Provider Demographics
NPI:1326448556
Name:LIOTTA, MARCUS TOLAND (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:TOLAND
Last Name:LIOTTA
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 1:1320 GARFIELD ST
Mailing Address - Street 2:APT 203
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-2757
Mailing Address - Country:US
Mailing Address - Phone:330-573-3971
Mailing Address - Fax:
Practice Address - Street 1:1320 GARFIELD ST
Practice Address - Street 2:APT 203
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-2757
Practice Address - Country:US
Practice Address - Phone:330-573-3971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-25
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0020365183500000X
OH03233879183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist