Statements: Maravich Enterprises dba Hidden Valley Pharmacy

Canonical ID: NK-c2KkTkLaW4x3neBHdV9d7t · Entity type: Company (reference)

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Property	Value	Lang	Source dataset	Source ID	First seen
`Organization:address`	19851 HARTMANN RD, UNIT C, HIDDEN VALLEY LAKE, CA 954678307		ext_us_cms_npi	`us-npi-1790116861`	2026-02-05
`Company:address`	19851 Hartmann Rd., Unit C, Hidden Valley Lake, CA, 95467	eng	us_ca_med_exclusions	`us-medca-e4739d2f7f8a88c913a25097f3ded9d04e37d095`	2024-11-07
`Organization:address`	19851 HARTMANN ROAD, SUITE C, HIDDEN VALLEY LAKE, CA 95467		ext_us_cms_npi	`us-npi-1790806602`	2026-02-05
`Organization:alias`	Hidden Valley Pharmacy		ext_us_cms_npi	`us-npi-1790806602`	2026-02-05
`Organization:alias`	Hidden Valley Pharmacy		ext_us_cms_npi	`us-npi-1790116861`	2026-02-05
`Organization:country`	us		ext_us_cms_npi	`us-npi-1790116861`	2026-02-05
`Company:country`	us		us_ca_med_exclusions	`us-medca-e4739d2f7f8a88c913a25097f3ded9d04e37d095`	2024-11-07
`Organization:country`	us		ext_us_cms_npi	`us-npi-1790806602`	2026-02-05
`Organization:id`	ba4e3a3ed857d0aaed065f407178102f8bc2426b		ext_us_cms_npi	`us-npi-1790806602`	2026-02-05
`Company:id`	226e2ebe23ce876b3997ed9b65ca229a68ac8ea9		us_ca_med_exclusions	`us-medca-e4739d2f7f8a88c913a25097f3ded9d04e37d095`	2024-12-12
`Organization:id`	7ee1d6431d67ee6593bf369bb115f621826c9e8a		ext_us_cms_npi	`us-npi-1790116861`	2026-02-05
`Company:name`	Maravich Enterprises dba Hidden Valley Pharmacy	eng	us_ca_med_exclusions	`us-medca-e4739d2f7f8a88c913a25097f3ded9d04e37d095`	2024-11-07
`Organization:name`	MARAVICH ENTERPRISES		ext_us_cms_npi	`us-npi-1790116861`	2026-02-05
`Organization:name`	MARVICH ENTERPRISES, LLC		ext_us_cms_npi	`us-npi-1790806602`	2026-02-05
`Organization:npiCode`	1790116861		ext_us_cms_npi	`us-npi-1790116861`	2026-02-05
`Company:npiCode`	1790116861	eng	us_ca_med_exclusions	`us-medca-e4739d2f7f8a88c913a25097f3ded9d04e37d095`	2024-12-12
`Organization:npiCode`	1790806602		ext_us_cms_npi	`us-npi-1790806602`	2026-02-05
`Company:npiCode`	1790806602	eng	us_ca_med_exclusions	`us-medca-e4739d2f7f8a88c913a25097f3ded9d04e37d095`	2024-12-12
`Company:registrationNumber`	PHY51432	eng	us_ca_med_exclusions	`us-medca-e4739d2f7f8a88c913a25097f3ded9d04e37d095`	2024-12-12
`Company:registrationNumber`	PHY050997	eng	us_ca_med_exclusions	`us-medca-e4739d2f7f8a88c913a25097f3ded9d04e37d095`	2024-12-12
`Company:sector`	Entity/Corporation	eng	us_ca_med_exclusions	`us-medca-e4739d2f7f8a88c913a25097f3ded9d04e37d095`	2024-11-07
`Company:topics`	debarment		us_ca_med_exclusions	`us-medca-e4739d2f7f8a88c913a25097f3ded9d04e37d095`	2024-11-07

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