Type | Company | [sources] | |||
---|---|---|---|---|---|
Name | United Family Pharmacy, LLC | [sources] | |||
Incorporation date | not available | [sources] | |||
Jurisdiction | not available | [sources] | |||
Country | United States | [sources] | |||
NPI | 1083146328 | [sources] | |||
Registration number | PHY 55735 | [sources] | |||
Sector | Entity/Corporation | [sources] | |||
Address | 1221 South San Jacinto Avenue, San Jacinto, CA, 92582 | [sources] | |||
Last change | Last processed | First seen |
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States of America · DHCS
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