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Bacon East Pharmacy I

Debarred entity

Bacon East Pharmacy I is an entity of interest. It has not been found on international sanctions lists.

Type	Company				[sources]
Name	Bacon East Pharmacy I · Bacon East Pharmacy II				[sources]
Incorporation date	not available				[sources]
Jurisdiction	not available				[sources]
Country	United States				[sources]
NPI	`1295746873`				[sources]
Registration number	`PHA330760` · `PHY 33076` · `PHY 50632` · `PHY 53596` · `PHY 57144` · 1 more...				[sources]
Sector	Entity/Corporation				[sources]
Address	2425 East Street, No. 114 and 116, Concord, CA, 94520 · 2425 East Street, Suite 5, Concord, CA, 94520				[sources]
Last change	2025-11-14	Last processed	2025-12-01	First seen	2024-11-07

Sanctions
Country	Authority	Program	Start date	End date
United States	Department of Health Care Services		2021-09-15	-

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

United States · DHCS

Source data IDs: us-medca-947c5ac1d5b424d1fefe10120b1da723e47e8cbf · us-medca-a5c7ae4ffb4fc2b636daaddad0a49fc10cc2968d

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