Organization
DECARIA BROTHERS INC
Active
Other names
MEDICAL EXPRESS PHARMACY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN MADER PHARMD (DIR OF CLINICAL SVCS)
(330) 385-6339
Entity
Organization
Contact information
Practice address
104 E 5TH ST # 2, E LIVERPOOL, OH 43920-3031
(330) 385-6339
(330) 385-1400
Mailing address
104 E 5TH ST # 2, E LIVERPOOL, OH 43920-3031
(330) 385-6339
(330) 385-1400
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
021473300
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2079957
PK
—
05
—
2516129
—
OH
Enumeration date
10/07/2005
Last updated
01/17/2017
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