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Five Star Pharmacy, Inc.

Debarred entity
TypeCompany[sources]
NameFive Star Pharmacy, Inc.[sources]
Incorporation datenot available[sources]
Jurisdictionnot available[sources]
CountryUnited States[sources]
DescriptionLicense number(s): PHY 43184 · Provider number(s): 1194855908[sources]
Registration numbernot available[sources]
SectorEntity/Corporation[sources]
Address15714 1/2 Vanowen Street, Van Nuys, CA, 91406[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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