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Modern Apothecary

Debarred entity
TypeCompany[sources]
NameModern Apothecary[sources]
Incorporation datenot available[sources]
Jurisdictionnot available[sources]
CountryUnited States[sources]
DescriptionLicense number(s): *19834 · Provider number(s): PHD105250[sources]
Registration numbernot available[sources]
SectorPharmacy[sources]
AddressAttn: Bloom, Herbert Joshua, 1800 S. Robertson Blvd., Los Angeles, CA[sources]
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Data sources

US California Medicaid Suspended and ineligible providers22,466

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

United States · DHCS


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