Organization
DECARIA BROTHERS INC.
Active
Parent organization
DECARIA BROTHERS INC.
Other names
Buckeye Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
DECARIA BROTHERS INC.
Authorized official
VINCENT B DECARIA (PHARMACIST- OWNER)
(330) 382-7726
Entity
Organization
Contact information
Practice address
15549 STE RTE 170 STE 1, BUCKEYE PHARMACY, EAST LIVERPOOL, OH 43920
(330) 382-7726
(330) 382-7728
Mailing address
15549 STE RTE 170 STE 1, BUCKEYE PHARMACY, EAST LIVERPOOL, OH 43920
(330) 382-7726
(330) 382-7728
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
02-1815800
OH
3336C0003X
Community/Retail Pharmacy
Primary
02-1815800
OH
3336L0003X
Long Term Care Pharmacy
02-1815800
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02-1815800
OHIO STATE LICENSE
OH
05
—
2813978
—
OH
05
—
3810009042
—
WV
Enumeration date
04/30/2007
Last updated
03/11/2024
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