Keep updated
Get in touch
| Type | Company | [sources] | |||
|---|---|---|---|---|---|
| Name | Fruitvale Avenue Pharmacy, Inc. | [sources] | |||
| Incorporation date | not available | [sources] | |||
| Jurisdiction | not available | [sources] | |||
| Country | United States | [sources] | |||
| NPI | 1619203841 | [sources] | |||
| Registration number | PHY 537537 | [sources] | |||
| Sector | Entity/Corporation | [sources] | |||
| Address | 2693 Fruitvale Ave., Oakland, CA, 94601 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
For experts: raw data explorer
OpenSanctions is free for non-commercial users. Businesses must acquire a data license to use the dataset.