Organization
DISCOUNT PHAMACY ELYRIA LLC
Active
Other names
Discount Pharmacy Elyria
Organization subpart
No
Provider details
NPI number
Authorized official
BASSAM YOUSSEF (PHARMACIST IN CHARGE)
(810) 232-2700
Entity
Organization
Contact information
Practice address
403 CLEVELAND ST, ELYRIA, OH 44035-6143
(440) 366-1035
(440) 366-0028
Mailing address
403 CLEVELAND ST, ELYRIA, OH 44035-6143
(440) 366-1035
(440) 366-0028
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
022458100
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148652
PK
—
Enumeration date
11/10/2014
Last updated
11/10/2014
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