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Upper Levisa Clinic Pharmacy

Debarred entity

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

Type	Company				[sources]
Name	Upper Levisa Clinic Pharmacy				[sources]
Incorporation date	not available				[sources]
Jurisdiction	not available				[sources]
Country	United States				[sources]
Description	License number: P07846				[sources]
NPI	`1376648659`				[sources]
Registration number	not available				[sources]
Last change	2024-12-10	Last processed	2024-12-17	First seen	2024-12-10

Sanctions
Authority	Program	Start date	End date
Kentucky Department for Medicaid Services	-	2024-10-10	-

Medical providers terminated or excluded from Kentucky's Medicaid program.

United States · DMS

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