MEDICARE: MTH ENTERPRISES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	3336C0004X	Compounding Pharmacy
2	3336S0011X	Specialty Pharmacy
3	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1386192482
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MTH ENTERPRISES LLC

Provider Business Mailing Address
First Line	:	6833 OLEANDER CT
Second Line	:	C/O HOUSAM ABDELHAMID
City	:	LIBERTY TOWNSHIP
State	:	OH
Zip	:	45044-8334
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3495 BURNET AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-2876
Country	:	US
Telephone Number	:	513-344-8537
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HOUSAM ABDELHAMID
Credential	:	RPH
Telephone Number	:	513-344-8537

Provider Enumeration Date	:	09/17/2016
Last Update Date	:	11/16/2016

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Directions to “MTH ENTERPRISES LLC ” Practice Location

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