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Bacon East Pharmacy I

Debarred entity
TypeCompany[sources]
NameBacon East Pharmacy I[sources]
Incorporation datenot available[sources]
Jurisdictionnot available[sources]
CountryUnited States[sources]
NPI1295746873[sources]
Registration numberPHA330760 · PHY 33076 · PHY 50632 · PHY 53596 · ZZZ30023Z[sources]
SectorEntity/Corporation[sources]
Address2425 East Street, Suite 5, Concord, CA, 94520[sources]
Last changeLast processedFirst seen

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Data sources

US California Medicaid Suspended and ineligible providers22,477

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

United States · DHCS


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