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Organization
MEDICINE SHOPPE 1018 LLC
Active
Organization
MEDICINE SHOPPE 1018 LLC
Active
Other names
Medicine shoppe 1018
Organization subpart
No
Provider details
NPI number
Authorized official
TAMER IBRAHIM (PRESIDENT)
(330) 412-7442
Entity
Organization
Contact information
Practice address
900 E MAIN ST, LANCASTER, OH 43130-4048
(740) 653-7779
(740) 653-8265
Mailing address
900 E MAIN ST, LANCASTER, OH 43130-4048
(740) 653-7779
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
020936300
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0340229
—
OH
Enumeration date
12/04/2006
Last updated
03/13/2020
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