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
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
04/13/2025
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