Organization
MEDICINE SHOPPE 2000 LLC
Active
Other names
Medicine Shoppe 2000 LTC
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
Mailing address
6732 BRODIE BLVD, DUBLIN, OH 43017-8046
(330) 412-7442
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/15/2025
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