Statements: Kelseyville Pharmacy

Canonical ID: us-medca-c8caee44478285cfcd3bf620af0644eb74087020 · Entity type: Company (reference)

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Property	Value	Lang	Source dataset	Source ID	First seen
`Company:address`	3720 Main Street, Kelseyville, CA, 95451	eng	us_ca_med_exclusions	`us-medca-c8caee44478285cfcd3bf620af0644eb74087020`	2024-11-07
`Company:country`	us	eng	us_ca_med_exclusions	`us-medca-c8caee44478285cfcd3bf620af0644eb74087020`	2024-11-07
`Company:id`	ef096a4361f7c22fbeeaf5d4bf5d94192b8c6ed6	eng	us_ca_med_exclusions	`us-medca-c8caee44478285cfcd3bf620af0644eb74087020`	2024-12-12
`Company:name`	Kelseyville Pharmacy	eng	us_ca_med_exclusions	`us-medca-c8caee44478285cfcd3bf620af0644eb74087020`	2024-11-07
`Company:npiCode`	1306156096	eng	us_ca_med_exclusions	`us-medca-c8caee44478285cfcd3bf620af0644eb74087020`	2024-12-12
`Company:registrationNumber`	PHA170380	eng	us_ca_med_exclusions	`us-medca-c8caee44478285cfcd3bf620af0644eb74087020`	2024-12-12
`Company:registrationNumber`	PHY 46140	eng	us_ca_med_exclusions	`us-medca-c8caee44478285cfcd3bf620af0644eb74087020`	2024-12-12
`Company:registrationNumber`	CGP140495	eng	us_ca_med_exclusions	`us-medca-c8caee44478285cfcd3bf620af0644eb74087020`	2024-12-12
`Company:sector`	Pharmacy/Pharmacist	eng	us_ca_med_exclusions	`us-medca-c8caee44478285cfcd3bf620af0644eb74087020`	2024-11-07
`Company:topics`	debarment	eng	us_ca_med_exclusions	`us-medca-c8caee44478285cfcd3bf620af0644eb74087020`	2024-11-07