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| Type | Company | [sources] | |||
|---|---|---|---|---|---|
| Name | Go Live Well Pharmacy LLC · Go Live Well Pharmacy, LLC · Go Live Well Phramacy LLC · GoLive Well Pharmacy | [sources] | |||
| Incorporation date | not available | [sources] | |||
| Jurisdiction | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| Description | License number: MO2381 · State license type / number: Pharmacy / 5018 | [sources] | |||
| NPI | 1649790718 | [sources] | |||
| Registration number | not available | [sources] | |||
| Sector | 60-PHARMACY · 70 - PHARMACY · Pharmacy | [sources] | |||
| Address | 13035 Olive Blvd, Ste 210, Creve Coeur, MO 63141-6179 · 13035 Olive Blvd, Suite 210, Creve Coeur, MO 63141 | [sources] | |||
| Last change | Last processed | First seen | |||
This dataset contains a list of providers who have been terminated for cause from Iowa's Medicaid program.
United States of America · HHS
Medical providers excluded or suspended from Ohio's Medicaid program.
United States of America · ODM
Medical providers suspended from Missouri's Medicaid program.
United States of America · MMAC
Medical providers terminated or excluded from Kentucky's Medicaid program.
United States of America · DMS
Medicaid providers sanctioned in West Virginia's Medicaid program.
United States of America · MMIS
us-medmo-6e41931927964baab457a2b1facc74ca55094e6a · us-medoh-43f4801f2209ec035c2e5b3858e018d2a2b7912e · us-medwv-a8c59f8e25bed84a1fe4c4efa9b763442c6c8cbc · us-medwv-8d27abb565e01d275df924b2dcc1176974952dcd · NK-5NbwrXAoPHGUwLan3bDNxR · us-medky-74f9e9cfa6a44f4efc59c6d3abfbc48f5d7ab413 · us-media-5445339beb8ea03ab2d20454359de04cecb28734For experts: raw data explorer
OpenSanctions is free for non-commercial users. Businesses must acquire a data license to use the dataset.
| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States of America | Ohio Department of Medicaid | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| 13035 Olive Blvd, Suite 210, Creve Coeur, MO 63141 | United States of America | |
| United States of America | Kentucky Department for Medicaid Services | - | - |
| United States of America | Missouri Medicaid Audit & Compliance | - | - |
| United States of America | Iowa Health & Human Services | - | - |
| United States of America | Medicaid Management Information System | - | - |
| 13035 Olive Blvd, Ste 210, Creve Coeur, MO 63141-6179 | United States of America |