Company
Screen this subjectSt Paul Pharmacy
Debarred entityUnited States. Named in 2 sanctions listings.
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
- 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
Connections1
Other links1
- Raad KouzaDebarredLinked fromBorn 14 Aug 1966United States
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1528326287 |
Other names1
Also known as1
St. Paul Pharmacy
Addresses1
Detroit, MI
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