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Elliotts Pharmacy

Debarred entity

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

Type	Company				[sources]
Name	Elliotts Pharmacy				[sources]
Incorporation date	not available				[sources]
Jurisdiction	not available				[sources]
Country	United States				[sources]
Description	Provider number(s): GP154899, PHA323360, PHA204250, PHA433010				[sources]
Registration number	not available				[sources]
Sector	Physician				[sources]
Address	21 Castillo, Irvine, CA · 9049 Garfield Ave., Fountain Valley, CA · 9113 Garfield Ave., Fountain Valley, CA				[sources]
Last change	2024-11-07	Last processed	2024-11-07	First seen	2024-11-07

Linked to
Object	Role	Start date	End date
KM Corp	-	-	-

Sanctions
Authority	Program	Start date	End date
Department of Health Care Services	-	2004-12-23	-

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

United States · DHCS

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