Organization
DECARIA BROTHERS INC
Active
Organization
DECARIA BROTHERS INC
Active
Other names
PORTERS PRESCRIPTION PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD DECARIA RPH (RPH PHARMACY MANAGER)
(412) 264-2230
Entity
Organization
Contact information
Practice address
935 BEAVER GRADE RD, CORAOPOLIS, PA 15108-2790
(412) 264-2230
(412) 264-9497
Mailing address
935 BEAVER GRADE RD, CORAOPOLIS, PA 15108-2790
(412) 264-2230
(412) 264-9497
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP411899L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007478400003
—
PA
01
—
2080179
PK
—
01
—
4360880008
PTAN
—
Enumeration date
01/30/2007
Last updated
08/13/2015
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