Type | Company | [sources] | |||
---|---|---|---|---|---|
Name | Steven's Pharmacy | [sources] | |||
Incorporation date | not available | [sources] | |||
Jurisdiction | not available | [sources] | |||
Country | United States | [sources] | |||
NPI | 1013029941 | [sources] | |||
Registration number | PHA182580 · PHA374150 · PHY 37415 | [sources] | |||
Sector | Entity/Corporation | [sources] | |||
Address | 12 Buckhorn, Irvine, CA, 92604 | [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
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