Provider Demographics
NPI:1164288478
Name:DECARIA BROTHERS INC
Entity Type:Organization
Organization Name:DECARIA BROTHERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:BRUNO
Authorized Official - Middle Name:A
Authorized Official - Last Name:DECARIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-385-0825
Mailing Address - Street 1:1429 BURGETTSTOWN PLZ
Mailing Address - Street 2:
Mailing Address - City:BURGETTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15021-1187
Mailing Address - Country:US
Mailing Address - Phone:724-947-7000
Mailing Address - Fax:724-947-5699
Practice Address - Street 1:1429 BURGETTSTOWN PLZ
Practice Address - Street 2:
Practice Address - City:BURGETTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15021-1187
Practice Address - Country:US
Practice Address - Phone:724-947-7000
Practice Address - Fax:724-947-5699
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DECARIA BROTHERS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy