Type | Company | [sources] | |||
---|---|---|---|---|---|
Name | Five Star Pharmacy · Five Star Pharmacy, Inc. | [sources] | |||
Incorporation date | not available | [sources] | |||
Jurisdiction | not available | [sources] | |||
Country | United States of America | [sources] | |||
NPI | 1194855908 | [sources] | |||
Registration number | PHY 43184 · PHY 49145 | [sources] | |||
Sector | Entity/Corporation | [sources] | |||
Address | 15714 1/2 Vanowen Street, Van Nuys, CA, 91406 · 16438 Vanowen Street, Unit 101, Van Nuys, CA, 91406 | [sources] | |||
Last change | Last processed | First seen |
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States of America · DHCS
us-medca-d2613be5eddbbff423684338f09bd477ad30d7a0
· us-medca-a694582cb9d782954a0b01798c390ab92c477aa8
For experts: raw data explorer
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United States of America | Department of Health Care Services | - | - |