Type not stated

Renaissance Family Pharmacy

Debarred entity

United States. Named in 1 sanctions listing.

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Summary

License number: A30000897

Sanctions and listings1

  • Effective
    15 Jun 2010

    Official designation

    OIGUS Delaware Medicaid Sanctioned ProvidersUnited States

    Terminated 1/4/2012

    medicaid.dhss.delaware.gov

Identifiers1

IdentifierNumber
NPI number1568631372

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