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Poplar Grove Pharmacy

Debarred entity

Poplar Grove Pharmacy is an entity of interest. It has not been found on international sanctions lists.

Type	Company				[sources]
Name	Poplar Grove Pharmacy				[sources]
Incorporation date	not available				[sources]
Jurisdiction	not available				[sources]
Country	United States				[sources]
Description	License No: P05639				[sources]
ID Number	`PO5639`				[sources]
NPI	`1306117916`				[sources]
Registration number	not available				[sources]
Sector	33600000X · Business Entity				[sources]
Address	709 POPLAR GROVE STREET, Baltimore MD 21216				[sources]
Last change	2024-12-13	Last processed	2024-12-17	First seen	2024-10-15

Sanctions
Authority	Program	Start date	End date
Maryland Department of Health	-	2019-05-21	-
Maryland Department of Health	-	2019-05-21	-

Medical providers deemed ineligible to participate in Maryland's Medicaid program.

United States · MDH

List of providers excluded from participating in the Delaware Medicaid program.

United States · DHSS

Source data IDs: us-medmd-d0a35d69a0a864276bc1d669766bb8d938f68cd3 · us-medde-8c4025fd7f310a16d29fefef27111ac3dfa39acf

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