Provider Demographics
NPI:1811399421
Name:3ACES ENTERPRISES LLC
Entity Type:Organization
Organization Name:3ACES ENTERPRISES LLC
Other - Org Name:ECONO PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:HOUSAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDELHAMID
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:513-772-2777
Mailing Address - Street 1:11534 SPRINGFIELD PIKE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-3516
Mailing Address - Country:US
Mailing Address - Phone:513-772-2777
Mailing Address - Fax:513-772-6777
Practice Address - Street 1:11534 SPRINGFIELD PIKE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-3516
Practice Address - Country:US
Practice Address - Phone:513-772-2777
Practice Address - Fax:513-772-6777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-25
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0224413503336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0111377Medicaid
OH7463610001Medicare NSC