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Gavin Herbert Co. dba Horton & Converse Pharmacy

Debarred entity
TypeCompany[sources]
NameGavin Herbert Co. dba Horton & Converse Pharmacy[sources]
Incorporation datenot available[sources]
Jurisdictionnot available[sources]
CountryUnited States[sources]
DescriptionLicense number(s): PHY 19454 · Provider number(s): PHA194540, 1083784169[sources]
Registration numbernot available[sources]
SectorEntity/Corporation[sources]
Address2001 Santa Ana Monica Blvd., Santa Monica, CA, 90404[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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