Medicine Shoppe 2000

LBN: Medicine Shoppe 2000 Llc
Medicine Shoppe 2000 is an health care organization with primary practice located at 114 N Main St , Baltimore OH 43105-1210. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Medicine Shoppe 2000 Llc can be contacted via phone (740) 862-4240, or through Ibrahim, Tamer via phone (330) 412-7442.

Contact Information

Primary practice address
114 N Main St Baltimore OH 43105-1210
Fax: (740) 862-3155
Website:
Authorized official contact:
Name: Ibrahim, Tamer

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 020344200 Ohio

Profile Details

NPI number 1609889575
LBN Legal business name Medicine Shoppe 2000 Llc
DBA Doing business as Medicine Shoppe 2000
Authorized official Ibrahim, Tamer
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2006
Last updated Mar 13th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609889575 NPPES
Ohio MEDICAID 0340231

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