Provider Demographics
NPI:1467515379
Name:BLAGOJEVIC, MARKO (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MARKO
Middle Name:
Last Name:BLAGOJEVIC
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29100 AURORA RD
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-1855
Mailing Address - Country:US
Mailing Address - Phone:440-248-8448
Mailing Address - Fax:440-498-1042
Practice Address - Street 1:29100 AURORA RD
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-1855
Practice Address - Country:US
Practice Address - Phone:440-248-8448
Practice Address - Fax:440-498-1042
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2009-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-1-27497183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist