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Organization
DISCOUNT PHAMACY ELYRIA LLC
Active
Organization
DISCOUNT PHAMACY ELYRIA LLC
Active
Other names
Discount Pharmacy Elyria
Organization subpart
No
Provider details
NPI number
Authorized official
BASSAM YOUSSEF (PHARMACIST IN CHARGE)
(810) 232-2700
Entity
Organization
Contact information
Practice address
403 CLEVELAND ST, ELYRIA, OH 44035-6143
(440) 366-1035
(440) 366-0028
Mailing address
403 CLEVELAND ST, ELYRIA, OH 44035-6143
(440) 366-1035
(440) 366-0028
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
022458100
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148652
PK
—
Enumeration date
11/10/2014
Last updated
11/10/2014
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