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| Type | Company | [sources] | |||
|---|---|---|---|---|---|
| Name | 52 Street Pharmacy | [sources] | |||
| Incorporation date | not available | [sources] | |||
| Jurisdiction | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| Registration number | CGP14678 · PHA118810 · PHA200040 · PHA217110 | [sources] | |||
| Sector | Pharmacy | [sources] | |||
| Address | 5231 El Cajon Blvd., San Diego, CA, | [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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