Type | Company | [sources] | |||
---|---|---|---|---|---|
Name | St Paul Pharmacy · St. Paul Pharmacy | [sources] | |||
Incorporation date | not available | [sources] | |||
Jurisdiction | not available | [sources] | |||
Country | United States | [sources] | |||
Description | License number: 5301009751 | [sources] | |||
NPI | 1528326287 | [sources] | |||
Registration number | not available | [sources] | |||
Sector | Pharmacy | [sources] | |||
Address | Detroit, MI | [sources] | |||
Last change | Last processed | First seen |
Providers who have been terminated for cause from Michigan's Medicaid program.
United States · MDHHS
us-medmi-89fa7f1c47f48640b5a62a8ff59ba3d87423493c
· us-medmi-faf971dd403d49b1a0d2ab74488e0dc16bb4924f
For experts: raw data explorer
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Subject | Role | Start date | End date | |
Raad Kouza Debarred entity | - | - | - | |
Raad Kouza Debarred entity | - | - | - |