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Randy’s Gateway Drug, Inc

Debarred entity
TypeCompany[sources]
NameRandy’s Gateway Drug, Inc[sources]
Incorporation datenot available[sources]
Jurisdictionnot available[sources]
CountryUnited States of America[sources]
NPI1992705339[sources]
Registration numbernot available[sources]
Address3118 Cedar Valley Drive, Richlands, VA 24641[sources]
Last changeLast processedFirst seen

Relationships

Sanctions
CountryAuthorityProgramStart dateEnd date
United States of AmericaMedicaid Management Information System--

Data sources

US West Virginia Medicaid Provider Exclusions and Terminations321

Medicaid providers sanctioned in West Virginia's Medicaid program.

United States of America · MMIS


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