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111 Pharmacy

Debarred entity

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

Type	Company				[sources]
Name	111 Pharmacy				[sources]
Incorporation date	not available				[sources]
Jurisdiction	not available				[sources]
Country	United States				[sources]
NPI	`1821137118`				[sources]
Registration number	`41023` · `PHA393440` · `PHA410230`				[sources]
Sector	Pharmacy/Pharmacist				[sources]
Address	111 West Beverly Blvd., Ste. B, Montebello, CA, 90640				[sources]
Last change	2024-12-12	Last processed	2026-02-15	First seen	2024-11-07

Sanctions
Country	Authority	Program	Start date	End date
United States	Department of Health Care Services		2016-07-08	-

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

United States · DHCS

Source data IDs: us-npi-1821137118 · us-medca-ae11ab5c6b846d3159f058a7fc3988e875a4997a

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