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Bob's Greenley Pharmacy, Inc.

Debarred entity
TypeCompany[sources]
NameBob's Greenley Pharmacy, Inc.[sources]
Incorporation datenot available[sources]
Jurisdictionnot available[sources]
CountryUnited States[sources]
NPI1073653242[sources]
Registration numberCGP014665 · PHA199720 · PHY 45274[sources]
SectorPharmacy/Pharmacist[sources]
Address800 Delnero Drive, Mojave, CA, 95370[sources]
Last changeLast processedFirst seen

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Data sources

US California Medicaid Suspended and ineligible providers23,094

Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.

United States · DHCS


Source data IDs: us-npi-1073653242 · us-medca-28f376e802b7d9799f4887fd7896e16e3017936c

For experts: raw data explorer