Type | Company | [sources] | |||
---|---|---|---|---|---|
Name | Clark's Family Pharmacy | [sources] | |||
Incorporation date | not available | [sources] | |||
Jurisdiction | not available | [sources] | |||
Country | United States | [sources] | |||
ID Number | PP413779L | [sources] | |||
Registration number | not available | [sources] | |||
Address | Phila, PA | [sources] | |||
Last change | Last processed | First seen |
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
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Address | ||
---|---|---|
Full address | Country | |
Phila, PA | United States |