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Vermont and 110th Medical Arts Pharmacy

Debarred entity
TypeCompany[sources]
NameVermont and 110th Medical Arts Pharmacy[sources]
Incorporation datenot available[sources]
Jurisdictionnot available[sources]
CountryUnited States[sources]
DescriptionLicense number(s): 15152 · Provider number(s): PHD151520[sources]
Registration numbernot available[sources]
SectorPharmacy[sources]
AddressAttn: Jackson, Dorothy B., 10966 S. Vermont Ave., Los Angeles, CA[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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