Organization
FORUM HEALTH PHARMACY SERVICES CO., INC.
Active
Other names
Dacas Home Therapies
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL COX PH.D. (COO)
(330) 841-1066
Entity
Organization
Contact information
Practice address
1915 BELMONT AVE, SUITE 4, YOUNGSTOWN, OH 44504-1132
(330) 884-2190
(330) 884-2636
Mailing address
1915 BELMONT AVE, SUITE 4, YOUNGSTOWN, OH 44504-1132
(330) 884-2190
(330) 884-2636
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
OH
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
OH
333600000X
Pharmacy
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155815
BCBS - ANTHEM PROVIDER N
OH
05
—
0237274
—
OH
01
—
20579
INS. PROVIDER # - QUAL CH
OH
Enumeration date
07/07/2005
Last updated
09/11/2025
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