# DISCOUNT PHAMACY ELYRIA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Discount Pharmacy Elyria
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679979207
- **Authorized official:** BASSAM YOUSSEF (PHARMACIST IN CHARGE)
- **Authorized official phone:** (810) 232-2700

## Contact information

- **Practice address:** 403 CLEVELAND ST, ELYRIA, OH 44035-6143
- **Practice address phone:** (440) 366-1035
- **Practice address fax:** (440) 366-0028
- **Mailing address:** 403 CLEVELAND ST, ELYRIA, OH 44035-6143
- **Mailing address phone:** (440) 366-1035
- **Mailing address fax:** (440) 366-0028

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 022458100 | OH | Yes |

## Other

- **Enumeration date:** 11/10/2014
- **Last updated:** 11/10/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2148652 | PK | — |