Provider Demographics
NPI:1740376185
Name:BARRON, MARSHALL E (RPH)
Entity type:Individual
Prefix:MR
First Name:MARSHALL
Middle Name:E
Last Name:BARRON
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26561 ANNESLEY RD
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-2407
Mailing Address - Country:US
Mailing Address - Phone:216-360-0656
Mailing Address - Fax:
Practice Address - Street 1:23632 MERCANTILE RD
Practice Address - Street 2:SUITE F
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5916
Practice Address - Country:US
Practice Address - Phone:216-360-0500
Practice Address - Fax:216-360-0506
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-13713183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist