Canonical ID: us-medca-36f4cd6e6d2cb3a8cc649575565fedb7cf4aa54c
· Entity type: Company
(reference)
Property | Value | Lang | Source dataset | Source ID | First seen | ||
---|---|---|---|---|---|---|---|
Company:address | 7563 Green Valley Road, Placerville, CA, 95667 | eng | us_ca_med_exclusions | us-medca-36f4cd6e6d2cb3a8cc649575565fedb7cf4aa54c | |||
Company:country | us | eng | us_ca_med_exclusions | us-medca-36f4cd6e6d2cb3a8cc649575565fedb7cf4aa54c | |||
Company:id | 5cc5b4bdadc7f129b3c2aa720cc1ae718c1a2573 | eng | us_ca_med_exclusions | us-medca-36f4cd6e6d2cb3a8cc649575565fedb7cf4aa54c | |||
Company:name | Grandpa's Compounding Pharmacy | eng | us_ca_med_exclusions | us-medca-36f4cd6e6d2cb3a8cc649575565fedb7cf4aa54c | |||
Company:npiCode | 1689715286 | eng | us_ca_med_exclusions | us-medca-36f4cd6e6d2cb3a8cc649575565fedb7cf4aa54c | |||
Company:registrationNumber | PHY 45878 | eng | us_ca_med_exclusions | us-medca-36f4cd6e6d2cb3a8cc649575565fedb7cf4aa54c | |||
Company:sector | Entity/Corporation | eng | us_ca_med_exclusions | us-medca-36f4cd6e6d2cb3a8cc649575565fedb7cf4aa54c | |||
Company:topics | debarment | eng | us_ca_med_exclusions | us-medca-36f4cd6e6d2cb3a8cc649575565fedb7cf4aa54c |