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
—
—
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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