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Organization
DECARIA BROTHERS INC
Active
Organization
DECARIA BROTHERS INC
Active
Other names
MEDICAL EXPRESS PHARMACY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN MADER PHARMD (DIR OF CLINICAL SVCS)
(330) 385-6339
Entity
Organization
Contact information
Practice address
104 E 5TH ST # 2, E LIVERPOOL, OH 43920-3031
(330) 385-6339
(330) 385-1400
Mailing address
104 E 5TH ST # 2, E LIVERPOOL, OH 43920-3031
(330) 385-6339
(330) 385-1400
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
021473300
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2079957
PK
—
05
—
2516129
—
OH
Enumeration date
10/07/2005
Last updated
01/17/2017
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