Provider Demographics
NPI:1477842219
Name:HAUG, MARCUS III (BSC, MSC, PHARMD)
Entity type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:
Last Name:HAUG
Suffix:III
Gender:M
Credentials:BSC, MSC, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4132 MEADOWCREEK LN
Mailing Address - Street 2:
Mailing Address - City:COPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44321-3092
Mailing Address - Country:US
Mailing Address - Phone:330-668-7187
Mailing Address - Fax:330-668-7187
Practice Address - Street 1:325 E WATERLOO RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44319-1252
Practice Address - Country:US
Practice Address - Phone:330-724-5219
Practice Address - Fax:330-724-5219
Is Sole Proprietor?:No
Enumeration Date:2011-04-01
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-14395183500000X
IN26014441A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist