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52nd Street Pharmacy

Debarred entity
TypeCompany[sources]
Name52nd Street Pharmacy[sources]
Incorporation datenot available[sources]
Jurisdictionnot available[sources]
CountryUnited States[sources]
ID NumberPP482438 /RPI002536[sources]
NPI1306261169[sources]
Registration numbernot available[sources]
Tax Number463303782[sources]
Last changeLast processedFirst seen

Relationships

Data sources

US Pennsylvania Medicheck list5,921

Medical providers who are precluded from participation in the Medical Assistance Program

United States · DHS


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