Individual
KENNETH LEE DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
408 9TH ST SW, CANTON, OH 44707-4714
(330) 454-2000
(234) 521-7249
Mailing address
408 9TH ST SW, CANTON, OH 44707-4714
(330) 454-2000
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
03439948
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0432477
—
OH
Enumeration date
02/11/2021
Last updated
07/08/2024
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