Type not stated

Poplar Grove Pharmacy

Debarred entity

United States. Named in 1 sanctions listing.

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Summary

License number: PO5639

Sanctions and listings1

  • Effective
    21 May 2019

    Official designation

    Maryland Department of HealthUS Delaware Medicaid Sanctioned ProvidersUnited States

    Termination from MD Medicaid program - Manage Care Reporting Only-Terminated in DMES

    medicaid.dhss.delaware.gov

Identifiers1

IdentifierNumber
NPI number1306117916

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