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| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | NEW MOON PHARMACY INC | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [sources] | |||
| ID Number | 00032657 | [sources] | |||
| NPI | 1013336700 | [sources] | |||
| Sector | Pharmacy | [sources] | |||
| Status | not available | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States · OMIG
us-npi-1013336700 · us-medny-890dd63074e6f0526673a2b8e8828c4f2b9e51d8For experts: raw data explorer
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