Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MEDICINE SHOPPE 1088 LLC
Active
Organization
MEDICINE SHOPPE 1088 LLC
Active
Other names
Medicine Shoppe 1088
Organization subpart
No
Provider details
NPI number
Authorized official
TAMER IBRAHIM (PRESIDENT)
(330) 412-7442
Entity
Organization
Contact information
Practice address
345 N SANDUSKY AVE, BUCYRUS, OH 44820-1806
(419) 562-4222
(419) 562-4516
Mailing address
345 N SANDUSKY AVE, BUCYRUS, OH 44820-1806
(419) 562-4222
(419) 562-4516
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
02-735050
OH
3336C0003X
Community/Retail Pharmacy
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3654298
NCPDP #
OH
Enumeration date
08/25/2005
Last updated
03/13/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers