# DECARIA BROTHERS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDICAL EXPRESS PHARMACY SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316935976
- **Authorized official:** ERIN MADER PHARMD (DIR OF CLINICAL SVCS)
- **Authorized official phone:** (330) 385-6339

## Contact information

- **Practice address:** 104 E 5TH ST \# 2, E LIVERPOOL, OH 43920-3031
- **Practice address phone:** (330) 385-6339
- **Practice address fax:** (330) 385-1400
- **Mailing address:** 104 E 5TH ST \# 2, E LIVERPOOL, OH 43920-3031
- **Mailing address phone:** (330) 385-6339
- **Mailing address fax:** (330) 385-1400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 021473300 | OH | Yes |

## Other

- **Enumeration date:** 10/07/2005
- **Last updated:** 01/17/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2079957 | PK | — |
| 05 | — | 2516129 | — | OH |
