# MEDICINE SHOPPE 2000 LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medicine Shoppe 2000 LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992590566
- **Authorized official:** TAMER IBRAHIM (PRESIDENT)
- **Authorized official phone:** (330) 412-7442

## Contact information

- **Practice address:** 114 N MAIN ST, BALTIMORE, OH 43105-1210
- **Practice address phone:** (740) 862-4240
- **Mailing address:** 6732 BRODIE BLVD, DUBLIN, OH 43017-8046
- **Mailing address phone:** (330) 412-7442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/14/2025
- **Last updated:** 04/15/2025