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| Type | Company | [sources] | |||
|---|---|---|---|---|---|
| Name | Medical Center Pharmacy, Inc. | [sources] | |||
| Incorporation date | not available | [sources] | |||
| Jurisdiction | not available | [sources] | |||
| Country | United States | [sources] | |||
| NPI | 1437287802 | [sources] | |||
| Registration number | 11062 · PH0D79380 · PHA110620 | [sources] | |||
| Sector | Pharmacy/Pharmacist | [sources] | |||
| Address | 3137 Jefferson Avenue, Redwood City, CA, 94061 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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| Linked to | ||||
|---|---|---|---|---|
| Object | Role | Start date | End date | |
| Jefferson Plaza Pharmacy Debarred entity | - | - | - | |