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Tustin Community Pharmacy

Debarred entity
TypeCompany[sources]
NameTustin Community Pharmacy[sources]
Incorporation datenot available[sources]
Jurisdictionnot available[sources]
CountryUnited States[sources]
DescriptionLicense number(s): PHY 30023 · Provider number(s): PHA300230, 1730222670[sources]
Registration numbernot available[sources]
SectorEntity/Corporation[sources]
Address13400 Newport Ave., Tustin, CA, 92780[sources]
Last changeLast processedFirst seen

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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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