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Paseo Rx, Inc. dba Ararat Pharmacy

Debarred entity
TypeCompany[sources]
NamePaseo Rx, Inc. dba Ararat Pharmacy[sources]
Incorporation datenot available[sources]
Jurisdictionnot available[sources]
CountryUnited States[sources]
DescriptionLicense number(s): PHY 54471 · Provider number(s): 1093702763[sources]
Registration numbernot available[sources]
SectorEntity/Corporation[sources]
Address1717 East Walnut Street, Pasadena, CA, 91106[sources]
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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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