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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