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| Type | Company | [sources] | |||
|---|---|---|---|---|---|
| Name | Pharmassociates LLC ( | [sources] | |||
| Other name | Mingo Pharmacy) | [sources] | |||
| Incorporation date | not available | [sources] | |||
| Jurisdiction | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | Provider ID: 3004340 | [sources] | |||
| NPI | 1598094567 | [sources] | |||
| Registration number | not available | [sources] | |||
| Sector | 70-Pharmacy | [sources] | |||
| Address | 116 Mclister Avenue, Mingo Junction, OH 43938 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers excluded or suspended from Ohio's Medicaid program.
United States · ODM
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| Address | ||
|---|---|---|
| Full address | Country | |
| 116 Mclister Avenue, Mingo Junction, OH 43938 | United States | |