Provider Demographics
NPI:1699388819
Name:OST, MARC (EXCPT)
Entity Type:Individual
Prefix:
First Name:MARC
Middle Name:
Last Name:OST
Suffix:
Gender:M
Credentials:EXCPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 WELSH RD STE F
Mailing Address - Street 2:
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-1011
Mailing Address - Country:US
Mailing Address - Phone:215-646-4800
Mailing Address - Fax:215-646-4885
Practice Address - Street 1:810 WELSH RD STE F
Practice Address - Street 2:
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-1011
Practice Address - Country:US
Practice Address - Phone:215-646-4800
Practice Address - Fax:215-646-4885
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-27
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF7S6E7R5183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician