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Bacon East Pharmacy I

Debarred entity

Bacon East Pharmacy I is an entity of interest. It has not been found on international sanctions lists.

Type	Company				[sources]
Name	Bacon East Pharmacy I				[sources]
Incorporation date	not available				[sources]
Jurisdiction	not available				[sources]
Country	United States				[sources]
Description	License number(s): PHY 33076, PHY 50632, PHY 53596 · Provider number(s): ZZZ30023Z, PHA330760, 1295746873				[sources]
Registration number	not available				[sources]
Sector	Entity/Corporation				[sources]
Address	2425 East Street, Suite 5, Concord, CA, 94520				[sources]
Last change	2024-11-07	Last processed	2024-11-07	First seen	2024-11-07

Sanctions
Authority	Program	Start date	End date
Department of Health Care Services	-	2021-09-15	-

Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.

United States · DHCS

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