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52 Street Pharmacy

Debarred entity
TypeCompany[sources]
Name52 Street Pharmacy[sources]
Incorporation datenot available[sources]
Jurisdictionnot available[sources]
CountryUnited States[sources]
DescriptionProvider number(s): PHA118810, PHA200040, PHA217110, CGP14678[sources]
Registration numbernot available[sources]
SectorPharmacy[sources]
Address5231 El Cajon Blvd., San Diego, CA,[sources]
Last changeLast processedFirst seen

Relationships

Data sources

US California Medicaid Suspended and ineligible providers22,466

Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.

United States · DHCS


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