Provider Demographics
NPI:1386784825
Name:MARCH THERAPEUTICS LLC
Entity type:Organization
Organization Name:MARCH THERAPEUTICS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-870-2760
Mailing Address - Street 1:89 W MARCH LN STE 2
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-5721
Mailing Address - Country:US
Mailing Address - Phone:209-870-2760
Mailing Address - Fax:
Practice Address - Street 1:89 W MARCH LN
Practice Address - Street 2:STE 2
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-5721
Practice Address - Country:US
Practice Address - Phone:209-870-2760
Practice Address - Fax:209-870-2769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0003X, 3336L0003X, 3336L0003X, 3336S0011X, 333600000X
CAPHY464013336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY59427OtherCALIFORNIA BOARD OF PHARMACY
CAPHA464010Medicaid