Type | Company | [sources] | |||
---|---|---|---|---|---|
Name | Randy’s Gateway Drug, Inc | [sources] | |||
Incorporation date | not available | [sources] | |||
Jurisdiction | not available | [sources] | |||
Country | United States of America | [sources] | |||
NPI | 1992705339 | [sources] | |||
Registration number | not available | [sources] | |||
Address | 3118 Cedar Valley Drive, Richlands, VA 24641 | [sources] | |||
Last change | Last processed | First seen |
Sanctions | |||||
---|---|---|---|---|---|
Country | Authority | Program | Start date | End date | |
United States of America | Medicaid Management Information System | - | - |
Address | ||
---|---|---|
Full address | Country | |
3118 Cedar Valley Drive, Richlands, VA 24641 | United States of America |
Medicaid providers sanctioned in West Virginia's Medicaid program.
United States of America · MMIS
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