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| Type | Company | [sources] | |||
|---|---|---|---|---|---|
| Name | Mid Valley Pharmacy | [sources] | |||
| Incorporation date | not available | [sources] | |||
| Jurisdiction | not available | [sources] | |||
| Country | United States | [sources] | |||
| ID Number | PP415097L | [sources] | |||
| Registration number | not available | [sources] | |||
| Address | Lackawanna, PA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
For experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| LACKAWANNA, PA · Lackawanna, PA | United States | |