# MEDTIME PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MedTime Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407202914
- **Authorized official:** TAMER IBRAHIM RPH (OWNER, PIC, AO)
- **Authorized official phone:** (330) 412-7442

## Contact information

- **Practice address:** 400 12TH ST NW, CANTON, OH 44703-1809
- **Practice address phone:** (234) 410-3366
- **Practice address fax:** (234) 410-3221
- **Mailing address:** 400 12TH ST NW, CANTON, OH 44703-1809
- **Mailing address phone:** (234) 410-3366
- **Mailing address fax:** (234) 410-3221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PMY.022610900 | OH | Yes |

## Other

- **Enumeration date:** 05/13/2016
- **Last updated:** 11/04/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2164413 | PK | — |