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Organization
DECARIA BROTHERS, INC
Active
Organization
DECARIA BROTHERS, INC
Active
Other names
Herche-Bloor Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUNO DECARIA RPH (PHARMACIST/ OWNER)
(330) 385-0825
Entity
Organization
Contact information
Practice address
104 E FIFTH ST, EAST LIVERPOOL, OH 43920-3031
(330) 385-0825
(330) 385-8415
Mailing address
104 E FIFTH ST, EAST LIVERPOOL, OH 43920-3031
(330) 385-0825
(330) 385-8415
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
020178800
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0143494000
—
WV
05
—
0475936
—
OH
01
—
3621631
NABP
—
Enumeration date
10/07/2005
Last updated
01/20/2015
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