# DECARIA BROTHERS INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DECARIA BROTHERS INC.
- **Other names:** Buckeye Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356561427
- **Legal business name:** DECARIA BROTHERS INC.
- **Authorized official:** VINCENT B DECARIA (PHARMACIST- OWNER)
- **Authorized official phone:** (330) 382-7726

## Contact information

- **Practice address:** 15549 STE RTE 170 STE 1, BUCKEYE PHARMACY, EAST LIVERPOOL, OH 43920
- **Practice address phone:** (330) 382-7726
- **Practice address fax:** (330) 382-7728
- **Mailing address:** 15549 STE RTE 170 STE 1, BUCKEYE PHARMACY, EAST LIVERPOOL, OH 43920
- **Mailing address phone:** (330) 382-7726
- **Mailing address fax:** (330) 382-7728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 02-1815800 | OH | — |
| 3336C0003X | Community/Retail Pharmacy | 02-1815800 | OH | Yes |
| 3336L0003X | Long Term Care Pharmacy | 02-1815800 | OH | — |

## Other

- **Enumeration date:** 04/30/2007
- **Last updated:** 03/11/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 02-1815800 | OHIO STATE LICENSE | OH |
| 05 | — | 2813978 | — | OH |
| 05 | — | 3810009042 | — | WV |