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| Type | Company | [sources] | |||
|---|---|---|---|---|---|
| Name | Capitano's Pharmacy | [sources] | |||
| Incorporation date | not available | [sources] | |||
| Jurisdiction | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| ID Number | PP414814L | [sources] | |||
| NPI | 1477636421 | [sources] | |||
| Registration number | not available | [sources] | |||
| Address | Luzerne, PA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States of America | Department of Human Services | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| LUZERNE, PA · Luzerne, PA | United States of America | |
| Linked from | ||||
|---|---|---|---|---|
| Subject | Role | Start date | End date | |
| Peter J. Capitano Debarred entity | - | - | - | |