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| Type | Company | [sources] | |||
|---|---|---|---|---|---|
| Name | Sunset Pharmacy | [sources] | |||
| Incorporation date | not available | [sources] | |||
| Jurisdiction | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| NPI | 1104166222 | [sources] | |||
| Registration number | 51210 · CGP010750 · PHA137740 · PHA199310 | [sources] | |||
| Sector | Pharmacy/Pharmacist | [sources] | |||
| Address | 3101 Sunset Blvd., Ste. 4C , Rockllin, CA, 95677 | [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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