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| Type | Company | [sources] | |||
|---|---|---|---|---|---|
| Name | Pharmacia, Inc. dba 1800 Sullivan Pharmacy | [sources] | |||
| Incorporation date | not available | [sources] | |||
| Jurisdiction | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| NPI | 1659305951 | [sources] | |||
| Registration number | PHA187840 · PHY 18784 | [sources] | |||
| Sector | Entity/Corporation | [sources] | |||
| Address | 1800 Sullivan Ave., Suite 102, Daly City, CA, 94015 | [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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