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Maravich Enterprises dba Hidden Valley Pharmacy

Debarred entity

Maravich Enterprises dba Hidden Valley Pharmacy is an entity of interest. It has not been found on international sanctions lists.

Type	Company				[sources]
Name	Maravich Enterprises dba Hidden Valley Pharmacy				[sources]
Incorporation date	not available				[sources]
Jurisdiction	not available				[sources]
Country	United States				[sources]
Description	License number(s): PHY050997, PHY51432 · Provider number(s): 1790806602, 1790116861				[sources]
Registration number	not available				[sources]
Sector	Entity/Corporation				[sources]
Address	19851 Hartmann Rd., Unit C, Hidden Valley Lake, CA, 95467				[sources]
Last change	2024-11-07	Last processed	2024-11-07	First seen	2024-11-07

Linked to
Object	Role	Start date	End date
Hidden Valley Pharmacy	-	-	-

Sanctions
Authority	Program	Start date	End date
Department of Health Care Services	-	2020-02-12	-

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

United States · DHCS

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