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Hawthorne Professional Pharmacy

Debarred entity
TypeCompany[sources]
NameHawthorne Professional Pharmacy[sources]
Incorporation datenot available[sources]
Jurisdictionnot available[sources]
CountryUnited States[sources]
DescriptionLicense number(s): PHY 38184 · Provider number(s): PHA381840[sources]
Registration numbernot available[sources]
SectorEntity/Corporation[sources]
Address4477 W 118th St., Ste. 100, Hawthorne, CA, 90250[sources]
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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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