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Organization
MEDICINE SHOPPE 2000 LLC
Active
Organization
MEDICINE SHOPPE 2000 LLC
Active
Other names
Medicine shoppe 2000
Organization subpart
No
Provider details
NPI number
Authorized official
TAMER IBRAHIM (PRESIDENT)
(330) 412-7442
Entity
Organization
Contact information
Practice address
114 N MAIN ST, BALTIMORE, OH 43105-1210
(740) 862-4240
(740) 862-3155
Mailing address
114 N MAIN ST, BALTIMORE, OH 43105-1210
(740) 862-4240
(740) 862-3155
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
020344200
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0340231
—
OH
Enumeration date
08/14/2006
Last updated
03/13/2020
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