Provider Demographics
NPI:1548297781
Name:DBRRX, INC.
Entity type:Organization
Organization Name:DBRRX, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RONCI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:724-347-5505
Mailing Address - Street 1:830 S IRVINE AVE
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-1163
Mailing Address - Country:US
Mailing Address - Phone:724-347-5505
Mailing Address - Fax:724-347-4995
Practice Address - Street 1:830 S IRVINE AVE
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:PA
Practice Address - Zip Code:16146-1163
Practice Address - Country:US
Practice Address - Phone:724-347-5505
Practice Address - Fax:724-347-4995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-26
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
PA4152683336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1011073900001Medicaid
OH2480015Medicaid
PA4928990001Medicare NSC