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
—
—
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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