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Organization
MEDICINE SHOPPE 1088 LLC
Active
Organization
MEDICINE SHOPPE 1088 LLC
Active
Other names
Medicine Shoppe 1088 LTC
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
Mailing address
345 N SANDUSKY AVE, BUCYRUS, OH 44820-1806
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
11/04/2020
Last updated
04/13/2025
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