Organization
DECARIA BROTHERS INC
Active
Other names
Porter's Pharmacy & Compounding Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ANN ANDRESEN (COMPLIANCE OFFICER)
(740) 317-4282
Entity
Organization
Contact information
Practice address
935 BEAVER GRADE RD, CORAOPOLIS, PA 15108-2747
(412) 264-2230
(412) 264-9497
Mailing address
935 BEAVER GRADE RD, CORAOPOLIS, PA 15108-2747
(412) 264-2230
(412) 264-9497
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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