Company

St Paul Pharmacy

Debarred entity

United States. Named in 2 sanctions listings.

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Summary

License number: 5301009751

Sanctions and listings2

  • Effective
    22 Dec 2020

    Official designation

    Michigan Department of Health & Human ServicesUS Michigan Medicaid Sanctioned Provider ListUnited States

    Summary Suspension

    michigan.gov

  • Effective
    17 Apr 2026; 22 Dec 2020

    Official designation

    Michigan Department of Health & Human ServicesUS Michigan Medicaid Sanctioned Provider ListUnited States

    Summary Suspension

    Summary Suspension Termination

    michigan.gov

Connections1

Other links1

  • Raad KouzaDebarred
    Linked from
    Born 14 Aug 1966United States

Identifiers1

IdentifierNumber
NPI number1528326287

Other names1

Also known as1

St. Paul Pharmacy

Addresses1

  • Detroit, MI

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