Company
Screen this subject52nd Street Pharmacy
Debarred entityUnited States. Named in 2 sanctions listings.
Summary
License number: PROMISe #102900899
Sanctions and listings2
- Effective
- 31 Mar 2017
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
- Effective
- 31 Mar 2017
Official designation
Pennsylvania Department of Human servicesUS Delaware Medicaid Sanctioned ProvidersUnited States
Terminated Provider agreement due to no current certification or permit to practice as pharmacy in PA
Connections1
Other links1
- Olalckan AbifarinDebarredLinked fromUnited States
Identifiers3
| Identifier | Number |
|---|---|
| ID number | PP482438 /RPI002536 |
| NPI number | 1306261169 |
| Tax number | 463303782 |
Addresses1
Philadelphia, PA
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