Organization
DECARIA BROTHERS INC
Active
Other names
MARLAND HEIGHTS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY J DECARIA RPH (PHARMACIST/OWNER)
(330) 385-0825
Entity
Organization
Contact information
Practice address
3901 BRIGHTWAY ST, WEIRTON, WV 26062-4332
(304) 748-8464
Mailing address
3901 BRIGHTWAY ST, WEIRTON, WV 26062-4332
(304) 748-8464
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
SP0550376
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5011236
NABP
—
05
—
5011236
—
WV
05
—
SP0550376
—
WV
Enumeration date
10/10/2005
Last updated
03/07/2023
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